Beatty, Dorothy
Beatty, Dorothy is an sole proprietor health care provider with primary practice located at 135 S Jackson St Ste 204 , Glendale CA 91205-4918. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beatty, Dorothy can be contacted via phone (323) 806-1623.Contact Information
Primary practice address
135 S Jackson St Ste 204
Glendale CA 91205-4918
Phone: (323) 806-1623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35387 | California |
Profile Details
| NPI number | 1841621133 |
|---|---|
| LBN Legal business name | Beatty, Dorothy |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2013 |
| Last updated | Oct 11th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841621133 | NPPES |
| California | MEDICAID | 01261511 |
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