Individual provider · Type 1 NPI

Mark Stephen Green, PhD, L.P.

Psychologist · Wichita, KS

NPI number 1033589569 Active

Practice location

9415 E Harry St, Suite 703
Wichita, KS 67207-5089

Call (316) 978-6102 Map

Mailing address

1845 Fairmount St, Box 91
Wichita, KS 67260-0091

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2354 (KS)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1033589569

Mark Stephen Green, PhD, L.P.'s National Provider Identifier is 1033589569, issued on Sep 26, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wichita, KS. The record was last updated on Sep 26, 2015.