WILLIAM M GREEN

COEUR D ALENE, ID
NPI1033276431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY310)
Additional Taxonomies103T00000X Psychologist
(Licence: CA  PSY14247)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
WILLIAM M GREEN PHD
401 1 2 SHERMAN SUITE 206
COEUR D ALENE, ID 83814-2777
Phone number: 208-765-1894
Mailing Address
WILLIAM M GREEN PHD
PO BOX 1209
COEUR D ALENE, ID 83816-1209
Phone number: 208-765-1894