Mintz, Staci Melissa

Mintz, Staci Melissa is an individual health care provider with primary practice located at 19013 Vanowen St , Reseda CA 91335-5115. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mintz, Staci Melissa can be contacted via phone (818) 968-1215.

Contact Information

Primary practice address
19013 Vanowen St Reseda CA 91335-5115
Phone: (818) 968-1215
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1881113835
LBN Legal business name Mintz, Staci Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Jul 28th, 2022 - about 4 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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