Healthcare Provider Details

I. General information

NPI: 1346476710
Provider Name (Legal Business Name): ALLISON JEAN BEGLEY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON JEAN KOZONIS

II. Dates (important events)

Enumeration Date: 05/30/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LMU DR
LOS ANGELES CA
90045-2650
US

IV. Provider business mailing address

10721 COLUMBUS AVE
MISSION HILLS CA
91345-2042
US

V. Phone/Fax

Practice location:
  • Phone: 818-606-6429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY26555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: