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NPI Code Detail

MEDICARE: DR. BARBARA LOUISE MACBETH PH.D.

MEDICARE: DR. BARBARA LOUISE MACBETH PH.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
1103TC2200XClinical Child & Adolescent PsychologistPSY 5815CA

General Provider Information

NPI Number : 1447417803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA LOUISE MACBETH PH.D.
Provider Business Mailing Address
First Line : 2020 ZONAL AVE
Second Line : IRD-123
City : LOS ANGELES
State : CA
Zip : 90089-0121
Country : US
Telephone Number : 323-226-4279
Fax Number :
Provider Business Practice Location Address
First Line : 2020 ZONAL AVE
Second Line : IRD-123
City : LOS ANGELES
State : CA
Zip : 90089-0121
Country : US
Telephone Number : 323-226-4279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/21/2008

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