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General NPI Number Information
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NPI Number | 1306990403
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Entity Type | Organization
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Legal Business Name | BRICKLIN PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23068 LANARK ST
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City | WEST HILLS
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State | CA
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Zip | 91304-3527
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Country | US
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Telephone | 818-332-2287
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Fax | 818-332-2287
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Provider Business Mailing Address
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Address Line | 22287 MULHOLLAND HWY #79
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City | CALABASAS
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State | CA
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Zip | 91302-5157
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Country | US
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Telephone | 818-332-2287
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Fax | 818-332-2287
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | DR. SETH BRICKLIN
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Credential | PSY.D.
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Telephone | 818-332-2287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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