Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1093489395 |
---|---|
Provider Name | Kaylarin Greene |
First Address | Boynton Beach, FL 33472-2787 |
Second Address | Boynton Beach, FL 33472-2787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2021 |
Last Update Date | 04/08/2021 |