Individual provider · Type 1 NPI

Sydjea M. Green, PhD

Psychologist · Southlake, TX

NPI number 1750004248 Active

Practice location

1230 N Kimball Ave Ste 130
Southlake, TX 76092-4707

Fax (817) 755-0945

Mailing address

126 Floyd St
Brentwood, NY 11717-2646

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X39576 (TX)

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 1750004248

Sydjea M. Green, PhD's National Provider Identifier is 1750004248, issued on Sep 21, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Southlake, TX. The record was last updated on Sep 21, 2022.