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NPI Code Detail

MEDICARE: CETH ASHEN PH.D.

MEDICARE: CETH ASHEN PH.D.
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
1103TC0700XClinical PsychologistPSY16636CA

General Provider Information

NPI Number : 1538298351
Entity Type Code : Individual
Provider Name (Legal Business Name) : CETH ASHEN PH.D.
Provider Business Mailing Address
First Line : 222 N CANON DR STE 205
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-5318
Country : US
Telephone Number : 310-801-3403
Fax Number :
Provider Business Practice Location Address
First Line : 222 N CANON DR STE 205
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-5318
Country : US
Telephone Number : 310-801-3403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 11/24/2021

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