Modell, Eugene Albert

Modell, Eugene Albert is an sole proprietor health care provider with primary practice located at 1601 Carmen Dr Ste 211, Camarillo CA 93010-3103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Modell, Eugene Albert can be contacted via phone (805) 987-3727.

Contact Information

Primary practice address
1601 Carmen Dr Ste 211 Camarillo CA 93010-3103
Fax: (805) 484-0356
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 5021 California

Profile Details

NPI number 1699859926
LBN Legal business name Modell, Eugene Albert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Oct 26th, 2016 - about 8 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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