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General NPI Number Information
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NPI Number | 1467631218
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Entity Type | Organization
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Legal Business Name | BRUCE L. WHITNEY, PH.D., A PSCYHOLOGY CORPORATION
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 2393 TOWNSGATE RD STE 100A
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2513
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Country | US
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Telephone | 805-496-2343
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Fax | 805-214-3552
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Provider Business Mailing Address
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Address Line | 2393 TOWNSGATE RD STE 100A
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2513
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Country | US
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Telephone | 805-496-2343
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Fax | 805-214-3552
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | MRS. LAURIE B WHITNEY
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Credential |
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Telephone | 805-857-1289
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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 | PSY14884
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License Number State | CA
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