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Jacqualyn Green, PH.D

NPI 1093861932 · on the registry since 2007 · sole proprietor

Practice

Address
4755 Kingsway Dr Ste 308
Indianapolis, IN 46205
Phone
(317) 257-6773
Fax
(317) 863-1414
Organisation at this address
Caregivers 2, Inc.
King'S Grace Homecare Llc
Synergy Recovery Network Llc
Primary Personal Services Llc
Meridian Health Services Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana