Patricia Moon Kerson in Los Angeles - Clinical
Patricia Moon Kerson - NPI 1811097413
Patricia Moon Kerson is a Clinical in Los Angeles, California. Patricia Moon Kerson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Moon Kerson is 1811097413. The last update date is 2007-07-08.
Patricia Moon Kerson's current location address is 612 N Sepulveda Blvd Ste 17, Los Angeles, California. You can contact this provider via phone number 3104719997. The mailing address for Patricia Moon Kerson is 612 N Sepulveda Blvd Ste 17, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Moon Kerson |
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Address | 612 N Sepulveda Blvd Ste 17, Los Angeles, California |
Phone Number | 3104719997 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1811097413 |
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Provider Enumeration Date | 2006-09-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 612 N Sepulveda Blvd Ste 17 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900492180 |
Phone Number | 3104719997 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY11774 |
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 Patricia Moon Kerson by the Centers for Medicare & Medicaid Services (CMS)?
The Patricia Moon Kerson has been assigned the NPI (National Provider Identifier) 1811097413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Patricia Moon Kerson?
The Patricia Moon Kerson is physically situated at 612 N Sepulveda Blvd Ste 17, in the city of Los Angeles, state of CA, with the postal code 900492180.
What is Patricia Moon Kerson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia Moon Kerson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Patricia Moon Kerson's 1811097413 issued?
The Patricia Moon Kerson's 1811097413 was issued on 2006-09-23.
When was the Patricia Moon Kerson's information last updated?
The Patricia Moon Kerson's information was last updated on 2007-07-08.
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