Whitney, Bruce Lee
Whitney, Bruce Lee is an individual health care provider with primary practice located at 2239 Townsgate Rd Suite 104, Westlake Village CA 91361-2405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whitney, Bruce Lee can be contacted via phone (805) 493-0325.Contact Information
Primary practice address
2239 Townsgate Rd Suite 104
Westlake Village CA 91361-2405
Phone: (805) 493-0325
Fax: (805) 241-3552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14884 | California |
Profile Details
NPI number | 1790764389 |
---|---|
LBN Legal business name | Whitney, Bruce Lee |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1790764389 | NPPES |
California | Other | PSY14884 | STATE LICENSE |
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