Aimee Gibson Ellicott in Los Angeles - Clinical
Aimee Gibson Ellicott - NPI 1558410324
Aimee Gibson Ellicott is a Clinical in Los Angeles, California. Aimee Gibson Ellicott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Aimee Gibson Ellicott is 1558410324. The last update date is 2007-07-08.
Aimee Gibson Ellicott's current location address is 6310 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3239348971. The mailing address for Aimee Gibson Ellicott is 6310 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aimee Gibson Ellicott |
|---|---|
| Address | 6310 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3239348971 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1558410324 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6310 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900485426 |
| Phone Number | 3239348971 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11408 |
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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 10-digit identification code assigned to Aimee Gibson Ellicott by the Centers for Medicare & Medicaid Services?
The Aimee Gibson Ellicott has been issued the NPI (National Provider Identifier) 1558410324, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Aimee Gibson Ellicott is physically located?
The Aimee Gibson Ellicott is situated at the following address: 6310 San Vicente Blvd, Los Angeles, CA 900485426.
What is Aimee Gibson Ellicott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aimee Gibson Ellicott is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Aimee Gibson Ellicott's 1558410324 issued?
The Aimee Gibson Ellicott's 1558410324 was issued on 2007-01-09.
When was the information related to Aimee Gibson Ellicott most recently updated or refreshed?
The details pertaining to the Aimee Gibson Ellicott, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1467434399
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