MRS. JENICE IVETTE GREEN MA NPI 1750810214

NPI Information

  • NPI: 1750810214
  • Provider Name: MRS. JENICE IVETTE GREEN, MA
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • Address: 1035 CHERAW STREET
    BENNETTSVILLE, SC
    ZIP 29512
  • Phone: (843) 454-0841

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NPI Details

MRS. Jenice Ivette Green, MA is a cognitive and behavioral psychologist in Bennettsville, SC. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. MRS. Jenice Ivette Green, MA NPI is 1750810214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 CHERAW STREET
BENNETTSVILLE, SC
ZIP 29512
Phone: (843) 454-0841
Fax: (843) 454-0635

The enumeration date for this NPI number is 6/8/2017 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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