Timothy Collister Phd & Associates, Inc

LBN: Timothy Collister Phd & Associates, Inc
Timothy Collister Phd & Associates, Inc is an health care organization with primary practice located at 7024 Seville Ave Ste D , Huntington Park CA 90255-4969. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Timothy Collister Phd & Associates, Inc can be contacted via phone (323) 588-9600, or through Collister, Timothy D via phone (323) 588-9600.

Contact Information

Primary practice address
7024 Seville Ave Ste D Huntington Park CA 90255-4969
Phone: (323) 588-9600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Collister, Timothy D PHD
Phone: (323) 588-9600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12985 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY12895 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY12895 California

Profile Details

NPI number 1407912462
LBN Legal business name Timothy Collister Phd & Associates, Inc
DBA Doing business as
Authorized official Collister, Timothy D PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Nov 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407912462 NPPES
California MEDICAID PSY128951
California MEDICAID PSY12950

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