Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARESA GREEN
ActiveHealth Service Psychologist · ECORSE, MI
Registration Details
- NPI Number
- 1841034295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2024 (1.836157962187 yrs)
- Last Updated
- Jun 20, 2024
Practice Information
- Address
-
4317 11TH STECORSE, MI, 482291162Browse MI providers · Browse ZIP 48229
- Phone
- 3135205311
- Primary Specialty
-
Health Service Psychologist
103TH0100X
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.