Kimberley Green, PH.D., HSPP
Individual
Deactivated
NPI 1821084476
Health Service Psychologist
Saint Louis, MO
NPI 1821084476 belongs to Kimberley Green, PH.D., HSPP, a health service psychologist with a practice location in Saint Louis, MO. The NPI was issued on September 20, 2005, and the record was last updated in NPPES on August 16, 2026. The record lists 2 taxonomy codes. This NPI was deactivated on October 1, 2026.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 20040602 (IN) |
| Psychologist | 103T00000X | 20040602 (IN) |
Practice location
1 University Blvd
Community Psychological Service, 232 Stadler Hall
Saint Louis, MO 63121-4400
Community Psychological Service, 232 Stadler Hall
Saint Louis, MO 63121-4400
Phone: (314) 516-5824
Record history
- Name on record
- Dr. Kimberley A Green
- Status
- Deactivated
- NPI issued
- Last updated in NPPES
- Deactivated
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NPPES data as of · Source: CMS NPPES
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