DR. SUSAN WEISS BARSTIS


Address: 150 N Barrington Ave, Los Angeles, CA 90049-2921
Phone: 3104710483

DR. SUSAN WEISS BARSTIS (NPI# 1063761336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063761336
Entity Type Individual
Full Name DR. SUSAN WEISS BARSTIS
Credential PH.D.
Practice Address 150 N Barrington Ave
Los Angeles
CA 90049-2921
Practice Telephone 3104710483
Practice Fax Number 3104762833
Mailing Telephone 3104710483
Mailing Fax Number 3104762833
Enumeration Date 2012-09-02
Last Update Date 2012-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6217 CA Behavioral Health & Social Service Providers

Office Location

Street Address 150 N BARRINGTON AVE
City LOS ANGELES
State CA
Zip Code 90049-2921

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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