Susan Lee Mendenhall in Los Angeles - Clinical

Susan Lee Mendenhall - NPI 1992822068

Susan Lee Mendenhall is a Clinical in Los Angeles, California. Susan Lee Mendenhall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Lee Mendenhall is 1992822068. The last update date is 2007-07-08.

Susan Lee Mendenhall's current location address is 10436 Santa Monica Blvd, Los Angeles, California. You can contact this provider via phone number 3105588091 and fax number 3102044028. The mailing address for Susan Lee Mendenhall is 10436 Santa Monica Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Lee Mendenhall
Address 10436 Santa Monica Blvd, Los Angeles, California
Phone Number 3105588091
Fax Number 3102044028
Sole Proprietor N
Credentials MSW PSYD

NPI Number Detail

NPI Number 1992822068
Provider Enumeration Date 2007-03-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10436 Santa Monica Blvd
City Los Angeles
State California (CA)
Post Code 90025
Phone Number 3105588091
Fax Number 3102044028

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS3284
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Susan Lee Mendenhall

What is the Susan Lee Mendenhall's 1992822068?

The Susan Lee Mendenhall's NPI (National Provider Identifier) Number is 1992822068. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan Lee Mendenhall is physically located?

The Susan Lee Mendenhall is situated at the following address: 10436 Santa Monica Blvd, Los Angeles, CA 90025.

What is Susan Lee Mendenhall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Susan Lee Mendenhall is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date was the 1992822068 assigned to Susan Lee Mendenhall?

The Susan Lee Mendenhall was issued its 1992822068 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Susan Lee Mendenhall most recently updated or refreshed?

The details pertaining to the Susan Lee Mendenhall, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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