Healthcare Provider Details

I. General information

NPI: 1801933809
Provider Name (Legal Business Name): ILENE BELL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 412
BEVERLY HILLS CA
90210-4337
US

IV. Provider business mailing address

435 N BEDFORD DR STE 412
BEVERLY HILLS CA
90210-4337
US

V. Phone/Fax

Practice location:
  • Phone: 323-464-3823
  • Fax: 323-461-5771
Mailing address:
  • Phone: 323-464-3823
  • Fax: 323-461-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 9442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: