Dr Judith O Green, PHD is a
Psychologist based in Springburo, Ohio. Dr Judith O Green is licensed to practice in Ohio (license number 3861) and her current practice location is
15 South Main St, Suite 21, Springburo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 748-0406.
NPI number for Dr Judith O Green is 1134280977 and her current mailing address is 15 South Main St, Suite 21, Springburo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134280977.
Healthcare Provider's Profile
Full Name | Dr Judith O Green |
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Gender | Female |
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Speciality | Psychologist |
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Location | 15 South Main St, Springburo, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134280977
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Judith O Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134280977 | NPI | - | NPPES |
2225489 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 3861 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Judith O Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Judith O Green, PHD 15 South Main St, Suite 21, Springburo, OH 45066 Ph: (937) 748-0406 | Dr Judith O Green, PHD 15 South Main St, Suite 21, Springburo, OH 45066 Ph: (937) 748-0406 |
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