Bart Lee Ross is a Clinical in Huntington Beach, California. Bart Lee Ross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bart Lee Ross is 1639105430. The last update date is 2016-02-17.
Bart Lee Ross's current location address is 16531 Bolsa Chica St, Huntington Beach, California. You can contact this provider via phone number 6269634467. The mailing address for Bart Lee Ross is 16531 Bolsa Chica St, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bart Lee Ross |
|---|---|
| Address | 16531 Bolsa Chica St, Huntington Beach, California |
| Phone Number | 6269634467 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1639105430 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2016-02-17 |
Provider Mailing Address Detail
| Address | 16531 Bolsa Chica St |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926493596 |
| Phone Number | 6269634467 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15175 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00CP151750 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bart Lee Ross by the Centers for Medicare & Medicaid Services (CMS)?
The Bart Lee Ross has been assigned the NPI (National Provider Identifier) 1639105430. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Bart Lee Ross's facilities are situated?
The facilities of Bart Lee Ross are physically located at the following address: 16531 Bolsa Chica St, Huntington Beach, CA, 926493596.
What is Bart Lee Ross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bart Lee Ross is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Bart Lee Ross receive its 1639105430 assignment from the Centers for Medicare & Medicaid Services?
The Bart Lee Ross was assigned its 1639105430 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bart Lee Ross most recently updated or revised?
The information pertaining to Bart Lee Ross, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-17.