Lydia S Bangtson is a Forensic in Glendale, California. Lydia S Bangtson practices all healthcare services and medical treatments related to Forensic. The NPI Number for Lydia S Bangtson is 1093859035. The last update date is 2007-07-08.
Lydia S Bangtson's current location address is 222 W Eulalia St, Glendale, California. You can contact this provider via phone number 8182400108 and fax number 8182400301. The mailing address for Lydia S Bangtson is 222 W Eulalia St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lydia S Bangtson |
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Address | 222 W Eulalia St, Glendale, California |
Phone Number | 8182400108 |
Fax Number | 8182400301 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1093859035 |
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Provider Enumeration Date | 2007-02-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 222 W Eulalia St |
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City | Glendale |
State | California (CA) |
Post Code | 912042849 |
Phone Number | 8182400108 |
Fax Number | 8182400301 |
Provider's Primary Taxonomy Detail
Speciality | Forensic |
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Taxonomy | 103Tf0200X |
Licence No | PSY18278 |
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
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What is the unique identification code assigned to Lydia S Bangtson by the Centers for Medicare & Medicaid Services?
The Lydia S Bangtson has been issued the NPI (National Provider Identifier) 1093859035. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lydia S Bangtson is physically located?
The Lydia S Bangtson is situated at the following address: 222 W Eulalia St, Glendale, CA 912042849.
What is Lydia S Bangtson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lydia S Bangtson is Forensic, and the corresponding taxonomy classification code for this specialized field is 103Tf0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093859035 to Lydia S Bangtson?
The Centers for Medicare & Medicaid Services originally issued the 1093859035 to Lydia S Bangtson on 2007-02-15.
As of what date were the details pertaining to Lydia S Bangtson last refreshed?
The information related to the Lydia S Bangtson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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