Eisenberg, Tom Andrew
Eisenberg, Tom Andrew is an sole proprietor health care provider with primary practice located at 2130 Huntington Dr #306, South Pasadena CA 91030-4964. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Eisenberg, Tom Andrew can be contacted via phone (626) 799-3869.Contact Information
Primary practice address
2130 Huntington Dr #306
South Pasadena CA 91030-4964
Phone: (626) 799-3869
Fax: (626) 768-7490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20136 | California |
Profile Details
| NPI number | 1669509733 |
|---|---|
| LBN Legal business name | Eisenberg, Tom Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Apr 19th, 2010 - about 16 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 | 1669509733 | NPPES |
| California | MEDICAID | PSY201360 |
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