Mitzen Black is a Clinical in Los Angeles, California. Mitzen Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mitzen Black is 1467633735. The last update date is 2020-10-26.
Mitzen Black's current location address is 1625 Schrader Blvd, Los Angeles, California. You can contact this provider via phone number 3239937500. The mailing address for Mitzen Black is 1625 Schrader Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitzen Black |
|---|---|
| Address | 1625 Schrader Blvd, Los Angeles, California |
| Phone Number | 3239937500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1467633735 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2020-10-26 |
Provider Mailing Address Detail
| Address | 1625 Schrader Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900286213 |
| Phone Number | 3239937500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 30574 |
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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 Mitzen Black's unique identification number?
The Mitzen Black has been assigned the NPI (National Provider Identifier) Number 1467633735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mitzen Black?
The Mitzen Black is physically situated at 1625 Schrader Blvd, in the city of Los Angeles, state of CA, with the postal code 900286213.
What is Mitzen Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mitzen Black 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 1467633735 to Mitzen Black?
The Mitzen Black received its 1467633735 assignment from the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the information regarding Mitzen Black most recently updated?
The details pertaining to the Mitzen Black, including its address, specialty, and other relevant information, were last refreshed on 2020-10-26.