Burton, Ivey Louise

Burton, Ivey Louise is an individual health care provider with primary practice located at 450 Bauchet St , Los Angeles CA 90012-2907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Burton, Ivey Louise can be contacted via phone (213) 473-6111.

Contact Information

Primary practice address
450 Bauchet St Los Angeles CA 90012-2907
Phone: (213) 473-6111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY14900 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14900 California

Profile Details

NPI number 1063158848
LBN Legal business name Burton, Ivey Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2022
Last updated May 5th, 2022 - about 3 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 1063158848 NPPES
Other UNKNOWN UNKNOWN

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