| Dr Melissa N Green, PSYD | |
|
480 Central Ave, Pearl Harbor, HI 96860-4908 | |
| (808) 257-3365 | |
| Not Available |
| Full Name | Dr Melissa N Green |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 480 Central Ave, Pearl Harbor, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538326467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003165 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-1126 (Hawaii) | Primary |
| Entity Name | Straub Clinic & Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa N Green, PSYD 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: (808) 257-3365 | Dr Melissa N Green, PSYD 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: (808) 257-3365 |
Dr. John Knorek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-4242 | |
Dr. Valerie Lynn Perez, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 888-683-2778 | |
Dr. Susan Nastase, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-4242 | |
Ivoryee Martin, PSYD., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-473-0650 | |
Dr. Minda Huang, PSYD, MSCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 000-000-0000 | |
Dr. Thomas Jay Evans, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-473-1880 |