| NPI | 1356011217 |
|---|---|
| Former Legal Business Name | GREEN PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | HEDIEH AZADMEHR President 858-877-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-11-05 |