Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORNELIA ELLIS GREEN, PHD
Active Sole ProprietorDR. CORNELIA ELLIS GREEN, PHD is a Counseling Psychologist healthcare provider located in BELOIT, Wisconsin. NPI 1023162468 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · BELOIT, WI
Registration Details
- NPI Number
- 1023162468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2007 (19.57401501548 yrs)
- Last Updated
- Jul 8, 2007
- License
-
951-057 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
419 PLEASANT STSUITE 313BELOIT, WI, 535116249Browse WI providers · Browse ZIP 53511
- Phone
- 6083657078
- Fax
- 6083657464
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.