Amick, Leticia C

Amick, Leticia C is an sole proprietor health care provider with primary practice located at 121 W Lexington Dr Suite 346, Glendale CA 91203-2203. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Amick, Leticia C can be contacted via phone (818) 480-6517.

Contact Information

Primary practice address
121 W Lexington Dr Suite 346 Glendale CA 91203-2203
Phone: (818) 480-6517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3497 Arizona
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 21549 California

Profile Details

NPI number 1063490514
LBN Legal business name Amick, Leticia C
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Apr 2nd, 2014 - about 11 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 1063490514 NPPES
California Other GV818Z MEDICARE PTAN

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