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NPI Code Detail

MEDICARE: JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION

MEDICARE: JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY14116CA

General Provider Information

NPI Number : 1437595543
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION
Provider Business Mailing Address
First Line : 12011 SAN VICENTE BLVD STE 510
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-4947
Country : US
Telephone Number : 310-472-2329
Fax Number : 310-472-1399
Provider Business Practice Location Address
First Line : 12011 SAN VICENTE BLVD STE 510
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-4947
Country : US
Telephone Number : 310-472-2329
Fax Number : 310-472-1399
Authorized Official
Title or Position : OWNER
Name : DR. JOANNE P BARGE
Credential : PH.D.
Telephone Number : 310-472-2329
Provider Enumeration Date : 05/15/2013
Last Update Date : 05/15/2013

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Directions to “JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION ” Practice Location

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