NPI Code Details Logo

NPI 1184937401

NPI 1184937401 : EDWARD B. SINGER PH.D. : LOMA LINDA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1184937401
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EDWARD B. SINGER PH.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2010
-----------------------------------------------------
    Last Update Date     |    04/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11201 BENTON STREET 
-----------------------------------------------------
    City                 |    LOMA LINDA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92357-1000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-825-7082
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4626 GREENBUSH AVE 
-----------------------------------------------------
    City                 |    SHERMAN OAKS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91423-3114
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-986-8640
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    27234
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.