Dara Lynn Vines is a Clinical in Los Angeles, California. Dara Lynn Vines practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dara Lynn Vines is 1699864777. The last update date is 2007-07-08.
Dara Lynn Vines's current location address is 5935 S Garth Ave, Los Angeles, California. You can contact this provider via phone number 3102160505 and fax number 3102160505. The mailing address for Dara Lynn Vines is 5935 S Garth Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dara Lynn Vines |
|---|---|
| Address | 5935 S Garth Ave, Los Angeles, California |
| Phone Number | 3102160505 |
| Fax Number | 3102160505 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1699864777 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5935 S Garth Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900561513 |
| Phone Number | 3102160505 |
| Fax Number | 3102160505 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11577 |
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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 identifier code issued to Dara Lynn Vines by the Centers for Medicare & Medicaid Services?
The Dara Lynn Vines has been assigned the NPI (National Provider Identifier) 1699864777. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dara Lynn Vines's facilities are geographically located?
The facilities of Dara Lynn Vines are physically situated at the following location: 5935 S Garth Ave, Los Angeles, CA, 900561513.
What is the Dara Lynn Vines's specialty and taxonomy code?
The Dara Lynn Vines's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Dara Lynn Vines receive its 1699864777 assignment?
The Dara Lynn Vines was assigned its 1699864777 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Dara Lynn Vines last refreshed?
The information related to the Dara Lynn Vines, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY