Lyell, Julianna M
Lyell, Julianna M is an individual health care provider with primary practice located at 5175 E Pacific Coast Hwy Suite 304, Long Beach CA 90804-3317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lyell, Julianna M can be contacted via phone (562) 221-4141.Contact Information
Primary practice address
5175 E Pacific Coast Hwy Suite 304
Long Beach CA 90804-3317
Phone: (562) 221-4141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY19160 | California |
Profile Details
| NPI number | 1255378006 |
|---|---|
| LBN Legal business name | Lyell, Julianna M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1255378006 | NPPES |
| California | Other | 4141-01 | COMPSYCH PROVIDER NUMBER |
| California | Other | 0007273525 | COMPSYCH PROVIDER NUMBER |
| California | Other | 57227414190804A001 | COMPSYCH PROVIDER NUMBER |
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