Whitney, Bruce Lee

Whitney, Bruce Lee is an individual health care provider with primary practice located at 2239 Townsgate Rd Suite 104, Westlake Village CA 91361-2405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whitney, Bruce Lee can be contacted via phone (805) 493-0325.

Contact Information

Primary practice address
2239 Townsgate Rd Suite 104 Westlake Village CA 91361-2405
Phone: (805) 493-0325
Fax: (805) 241-3552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14884 California

Profile Details

NPI number 1790764389
LBN Legal business name Whitney, Bruce Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
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 1790764389 NPPES
California Other PSY14884 STATE LICENSE

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