Bangtson, Lydia S
Bangtson, Lydia S is an sole proprietor health care provider with primary practice located at 222 W Eulalia St Suite 301, Glendale CA 91204-2849. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bangtson, Lydia S can be contacted via phone (818) 240-0108.Contact Information
Primary practice address
222 W Eulalia St Suite 301
Glendale CA 91204-2849
Phone: (818) 240-0108
Fax: (818) 240-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 18278 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY18278 | California |
Profile Details
| NPI number | 1093859035 |
|---|---|
| LBN Legal business name | Bangtson, Lydia S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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