Dennis, Meredith Leigh
Dennis, Meredith Leigh is an individual health care provider with primary practice located at 1201 W La Veta Ave , Orange CA 92868-4203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dennis, Meredith Leigh can be contacted via phone (714) 509-4418.Contact Information
Primary practice address
1201 W La Veta Ave
Orange CA 92868-4203
Phone: (714) 509-4418
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-16-27302 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32213 | California |
Profile Details
NPI number | 1760990592 |
---|---|
LBN Legal business name | Dennis, Meredith Leigh |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2018 |
Last updated | Dec 3rd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760990592 | NPPES |
California | Other | 32213 | CALIFORNIA BOARD OF PSYCHOLOGY |
California | Other | RBT-16-27302 | CALIFORNIA BOARD OF PSYCHOLOGY |
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