Judith Green
Individual provider Active NPI School Psychologist · Odessa, DE
NPI 1043354772 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043354772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 10780 (DE)
- Practice address
- 118 South Sixth St
Odessa, DE 19730 - Phone
- (302) 376-4128
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10780 | DE | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appoquinimink School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10780 | DE | Yes |
Addresses
Primary practice location
118 South Sixth St
Odessa, DE 19730
Mailing address
118 South Sixth St
Odessa, DE 19730
Other providers in Odessa, DE
- Joanne L Gerdner
- Chana Meira Goldbaum
- Monique Goodwin
- Bethany Rose Gorman
- Julianne Gray
- Elizabeth Hall-Jackson
- Amanda Hall
- Lindsey Harbert
- Aimee Hastings
- Michele Hinson
All providers in Odessa, DE · School Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.