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General NPI Number Information
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NPI Number | 1083399083
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Entity Type | Organization
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Legal Business Name | BEE WELL PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 8441 BALBOA BLVD APT 12A
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4097
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Country | US
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Telephone | 619-786-4693
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Fax |
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Provider Business Mailing Address
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Address Line | 17216 SATICOY ST # 270
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City | LAKE BALBOA
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State | CA
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Zip | 91406-2103
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Country | US
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Telephone | 619-786-4693
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REENA A BECERRA
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Credential | PH.D.
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Telephone | 619-786-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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