Davis, Wendy Joanne

Davis, Wendy Joanne is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Wendy Joanne can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Phone: (323) 344-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255604302
LBN Legal business name Davis, Wendy Joanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2012
Last updated Feb 21st, 2012 - about 14 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 1255604302 NPPES
California Other 7667 MEDI-CAL
California Other 7708 MEDI-CAL
California Other 7184 MEDI-CAL
California Other 7368 MEDI-CAL

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