NPI 1053595371

Seth Green

Practitioner Clinical Psychologist Nome, AK

Practice location

Address: 607 Division Street, Nome, AK 99762-0966
Phone: (907) 443-3344
Mailing address: PO Box 966, Nome, AK 99762-0966

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 687 (AK)

Other Psychologist providers in Alaska →

Registry record

NPI: 1053595371
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2007
Record last updated: 15 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.