Bangtson, Lydia S

Bangtson, Lydia S is an sole proprietor health care provider with primary practice located at 222 W Eulalia St Suite 301, Glendale CA 91204-2849. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bangtson, Lydia S can be contacted via phone (818) 240-0108.

Contact Information

Primary practice address
222 W Eulalia St Suite 301 Glendale CA 91204-2849
Phone: (818) 240-0108
Fax: (818) 240-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 18278 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY18278 California

Profile Details

NPI number 1093859035
LBN Legal business name Bangtson, Lydia S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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