Brenda Ira Poll is a Clinical in Laguna Beach, California. Brenda Ira Poll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Ira Poll is 1609088012. The last update date is 2007-07-08.
Brenda Ira Poll's current location address is 635 Fontana Way, Laguna Beach, California. You can contact this provider via phone number 9497159019. The mailing address for Brenda Ira Poll is 635 Fontana Way, Laguna Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Ira Poll |
|---|---|
| Address | 635 Fontana Way, Laguna Beach, California |
| Phone Number | 9497159019 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D., PSY |
NPI Number Detail
| NPI Number | 1609088012 |
|---|---|
| Provider Enumeration Date | 2007-05-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 Fontana Way |
|---|---|
| City | Laguna Beach |
| State | California (CA) |
| Post Code | 926514053 |
| Phone Number | 9497159019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY10179 |
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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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Post Comment/ Review Below
What is the Brenda Ira Poll's 1609088012?
The Brenda Ira Poll's NPI (National Provider Identifier) Number is 1609088012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brenda Ira Poll's facilities are situated?
The facilities of Brenda Ira Poll are physically located at the following address: 635 Fontana Way, Laguna Beach, CA, 926514053.
What is Brenda Ira Poll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda Ira Poll's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609088012 to Brenda Ira Poll?
The Centers for Medicare & Medicaid Services originally issued the 1609088012 to Brenda Ira Poll on 2007-05-06.
As of what date was the information pertaining to Brenda Ira Poll, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brenda Ira Poll, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY