DR. KIMBERLEY A GREEN PH.D. HSPP NPI 1821084476

NPI Information

DR. Kimberley A Green, PH.D., HSPP is a health service psychologist in Saint Louis, MO. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Kimberley A Green, PH.D., HSPP NPI is 1821084476. 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:

1 UNIVERSITY BLVD
COMMUNITY PSYCHOLOGICAL SERVICE, 232 STADLER HALL
SAINT LOUIS, MO
ZIP 63121-400
Phone: (314) 516-5824
Fax: (314) 516-5347

The enumeration date for this NPI number is 9/20/2005 and was last updated on 11/26/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.