Diane Leslie Mink in Los Angeles - Clinical
Diane Leslie Mink - NPI 1285853473
Diane Leslie Mink is a Clinical in Los Angeles, California. Diane Leslie Mink practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Leslie Mink is 1285853473. The last update date is 2007-07-08.
Diane Leslie Mink's current location address is 11980 San Vincente Blvd, Los Angeles, California. You can contact this provider via phone number 3108261085 and fax number 3104793450. The mailing address for Diane Leslie Mink is 11980 San Vincente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Leslie Mink |
|---|---|
| Address | 11980 San Vincente Blvd, Los Angeles, California |
| Phone Number | 3108261085 |
| Fax Number | 3104793450 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285853473 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11980 San Vincente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90049 |
| Phone Number | 3108261085 |
| Fax Number | 3104793450 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY123800 |
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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 identifier code issued to Diane Leslie Mink by the Centers for Medicare & Medicaid Services?
The Diane Leslie Mink has been assigned the NPI (National Provider Identifier) 1285853473 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Diane Leslie Mink is geographically located?
The Diane Leslie Mink is physically situated at the following location: 11980 San Vincente Blvd, Los Angeles, CA, 90049.
What is Diane Leslie Mink's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diane Leslie Mink is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285853473 to Diane Leslie Mink?
The Diane Leslie Mink received its 1285853473 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information regarding Diane Leslie Mink, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Diane Leslie Mink, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC