Individual provider · Type 1 NPI

Charles McClure Green, LICENS PSYCHOLOGIST

Psychologist · Quiet Dell, WV

NPI number 1245225952 Active

Practice location

Rt 20
Quiet Dell, WV 26408

Fax (304) 622-6404

Mailing address

RR 2 Box 233B
Mount Clare, WV 26408-9719

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X397 (WV)

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 1245225952

Charles McClure Green, LICENS PSYCHOLOGIST's National Provider Identifier is 1245225952, issued on Sep 19, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Quiet Dell, WV. The record was last updated on Jul 13, 2026.