Magnusson, Lori J
Magnusson, Lori J is an sole proprietor health care provider with primary practice located at 550 W Vista Way Suite 105, Vista CA 92083-5732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Magnusson, Lori J can be contacted via phone (760) 634-6643.Contact Information
Primary practice address
550 W Vista Way Suite 105
Vista CA 92083-5732
Phone: (760) 634-6643
Fax: (760) 634-6643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY8568 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY8568 | California |
Profile Details
NPI number | 1467563767 |
---|---|
LBN Legal business name | Magnusson, Lori J |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Sep 16th, 2011 - about 14 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 | 1467563767 | NPPES |
California | MEDICAID | PSY085680 |
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