Kat Tumblin Green, PHD

NPI #1295043586 in Provo, Utah

Provider Information

NPI Number: 1295043586
Entity Type: Individual
Name: Kat Tumblin Green, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Sep 20, 2010
Last Updated: Dec 29, 2016

Practice Location

Address: 1190 N 900 E
Address 2: OFFICE 268
City: Provo
State: Utah
ZIP Code: 84604-3536
Phone: (801) 422-6475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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