Mathis, Betty Jean

Mathis, Betty Jean is an individual health care provider with primary practice located at 13400 Riverside Dr Ste 310, Sherman Oaks CA 91423-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mathis, Betty Jean can be contacted via phone (818) 386-9028.

Contact Information

Primary practice address
13400 Riverside Dr Ste 310 Sherman Oaks CA 91423-2544
Phone: (818) 386-9028
Fax: (818) 386-9029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12093 California

Profile Details

NPI number 1528042215
LBN Legal business name Mathis, Betty Jean
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 19 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 1528042215 NPPES
California MEDICAID PSY120930

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