Lord, Michelle Marie
Lord, Michelle Marie is an sole proprietor health care provider with primary practice located at 2810 E Del Mar Blvd Ste 7 , Pasadena CA 91107-4322. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Lord, Michelle Marie can be contacted via phone (626) 523-4097.Contact Information
Primary practice address
2810 E Del Mar Blvd Ste 7
Pasadena CA 91107-4322
Phone: (626) 523-4097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY18058 | California |
Profile Details
| NPI number | 1053075317 |
|---|---|
| LBN Legal business name | Lord, Michelle Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2021 |
| Last updated | Oct 23rd, 2021 - about 4 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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