MEDICARE: DR. ALLISON JEAN BEGLEY PSY.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC1900X	Counseling Psychologist	PSY26555	CA

General Provider Information

NPI Number	:	1346476710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON JEAN BEGLEY PSY.D.

Provider Business Mailing Address
First Line	:	10721 COLUMBUS AVE
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-2042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LMU DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-2650
Country	:	US
Telephone Number	:	818-606-6429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2009
Last Update Date	:	03/17/2018

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