Blakeley, Linda

Blakeley, Linda is an individual health care provider with primary practice located at 420 S Beverly Dr Ste 100 , Beverly Hills CA 90212-4410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blakeley, Linda can be contacted via phone (310) 286-9171.

Contact Information

Primary practice address
420 S Beverly Dr Ste 100 Beverly Hills CA 90212-4410
Phone: (310) 286-9171
Fax: (310) 578-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14228 California

Profile Details

NPI number 1467513226
LBN Legal business name Blakeley, Linda
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 1st, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467513226 NPPES
California MEDICAID PSY142280

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