| Robert A Green Phd And Associates Pa | |
|
16147 Lancaster Hwy Suite 110 Charlotte NC 28277-2050 | |
| (704) 887-4909 | |
| (954) 581-5630 |
| Full Name | Robert A Green Phd And Associates Pa |
|---|---|
| Speciality | Psychologist |
| Location | 16147 Lancaster Hwy, Charlotte, North Carolina |
| Authorized Official Name and Position | Robert A Green (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7048874909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Green Phd And Associates Pa 16147 Lancaster Hwy Suite 110 Charlotte NC 28277-2050 Ph: (704) 887-4909 | Robert A Green Phd And Associates Pa 16147 Lancaster Hwy Suite 110 Charlotte NC 28277-2050 Ph: (704) 887-4909 |
| NPI Number | 1124291786 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 07/29/2009 |
| Medicare PECOS PAC ID | 7214074160 |
|---|---|
| Medicare Enrollment ID | O20180406000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124291786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3499 (North Carolina) | Primary |
| Provider Name | Robert Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467442236 PECOS PAC ID: 7810048329 Enrollment ID: I20090623000667 |
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