Timothy Collister Phd & Associates, Inc
LBN: Timothy Collister Phd & Associates, Inc
Timothy Collister Phd & Associates, Inc is an health care organization with primary practice located at 7024 Seville Ave Ste D , Huntington Park CA 90255-4969. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Timothy Collister Phd & Associates, Inc can be contacted via phone (323) 588-9600, or through Collister, Timothy D via phone (323) 588-9600.
Contact Information
Primary practice address
7024 Seville Ave Ste D
Huntington Park CA 90255-4969
Phone: (323) 588-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY12985 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY12895 | California |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | PSY12895 | California |
Profile Details
| NPI number | 1407912462 |
|---|---|
| LBN Legal business name | Timothy Collister Phd & Associates, Inc |
| DBA Doing business as | |
| Authorized official | Collister, Timothy D PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Nov 27th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407912462 | NPPES |
| California | MEDICAID | PSY128951 | |
| California | MEDICAID | PSY12950 |
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