Lydia S Bangtson is a Clinical in Glendale, California. Lydia S Bangtson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lydia S Bangtson is 1093859035. The last update date is 2007-07-08.
Lydia S Bangtson's current location address is 222 W Eulalia St, Glendale, California. You can contact this provider via phone number 8182400108 and fax number 8182400301. The mailing address for Lydia S Bangtson is 222 W Eulalia St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia S Bangtson |
|---|---|
| Address | 222 W Eulalia St, Glendale, California |
| Phone Number | 8182400108 |
| Fax Number | 8182400301 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093859035 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 222 W Eulalia St |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912042849 |
| Phone Number | 8182400108 |
| Fax Number | 8182400301 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18278 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Lydia S Bangtson by the Centers for Medicare & Medicaid Services?
The Lydia S Bangtson has been issued the NPI (National Provider Identifier) 1093859035. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lydia S Bangtson is physically located?
The Lydia S Bangtson is situated at the following address: 222 W Eulalia St, Glendale, CA 912042849.
What is Lydia S Bangtson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lydia S Bangtson is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093859035 to Lydia S Bangtson?
The Centers for Medicare & Medicaid Services originally issued the 1093859035 to Lydia S Bangtson on 2007-02-15.
As of what date were the details pertaining to Lydia S Bangtson last refreshed?
The information related to the Lydia S Bangtson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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