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NPI Code Detail

MEDICARE: PHITT SERVICES

MEDICARE: PHITT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY30106CA
2103TF0000XFamily PsychologistPSY30106CA
3103TF0200XForensic PsychologistPSY30106CA
4103TM1800XIntellectual & Developmental Disabilities PsychologistPSY30106CA
5251S00000XCommunity/Behavioral Health Agency
6103TB0200XCognitive & Behavioral PsychologistPSY30106CA

General Provider Information

NPI Number : 1295214054
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHITT SERVICES
Provider Business Mailing Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 323-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 323-418-2978
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. RHYAN N FOSTER
Credential : PSYD
Telephone Number : 323-418-2978
Provider Enumeration Date : 08/11/2018
Last Update Date : 01/09/2020

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WOODLAND HILLS, CA
91367-2517
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1073228631 — STOPHE BARLOCK PAGE
Practice Location Address:
6320 CANOGA AVE STE 1500
WOODLAND HILLS, CA
91367-2517
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Practice Fax:
1437855145 — MEDI-TRANSP INC.
Practice Location Address:
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WOODLAND HILLS, CA
91367-2517
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1558124867 — ADRIANA SULT PMHNP-BC
Practice Location Address:
6320 CANOGA AVE STE 1500
WOODLAND HILLS, CA
91367-2517
Practice Phone: 747-746-4720
Practice Fax: 747-204-3104

Directions to “PHITT SERVICES ” Practice Location

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