Bruce Lee Whitney in Westlake Village - Clinical

Bruce Lee Whitney - NPI 1790764389

Bruce Lee Whitney is a Clinical in Westlake Village, California. Bruce Lee Whitney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Lee Whitney is 1790764389. The last update date is 2007-07-08.

Bruce Lee Whitney's current location address is 2239 Townsgate Rd, Westlake Village, California. You can contact this provider via phone number 8054930325 and fax number 8052413552. The mailing address for Bruce Lee Whitney is 2239 Townsgate Rd, Westlake Village, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Lee Whitney
Address 2239 Townsgate Rd, Westlake Village, California
Phone Number 8054930325
Fax Number 8052413552
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1790764389
Provider Enumeration Date 2006-01-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2239 Townsgate Rd
City Westlake Village
State California (CA)
Post Code 913612405
Phone Number 8054930325
Fax Number 8052413552

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY14884
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY14884 CA STATE LICENSE

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FAQs about Bruce Lee Whitney

What is the Bruce Lee Whitney's unique identification number?

The Bruce Lee Whitney has been assigned the NPI (National Provider Identifier) Number 1790764389 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Bruce Lee Whitney is physically located?

The Bruce Lee Whitney is situated at the following address: 2239 Townsgate Rd, Westlake Village, CA 913612405.

What is the Bruce Lee Whitney's specialty and taxonomy code?

The Bruce Lee Whitney's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When was the Bruce Lee Whitney's 1790764389 issued?

The Bruce Lee Whitney's 1790764389 was issued on 2006-01-11.

When was the information regarding Bruce Lee Whitney, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bruce Lee Whitney, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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