MEDICARE: DR. BASSYA PINSON 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	103T00000X	Psychologist	PSY21080	CA

General Provider Information

NPI Number	:	1528192598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BASSYA PINSON PSY.D.

Provider Business Mailing Address
First Line	:	9171 WILSHIRE BLVD
Second Line	:	SUITE 615
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-5530
Country	:	US
Telephone Number	:	323-774-4045
Fax Number	:

Provider Business Practice Location Address
First Line	:	6505 WILSHIRE BLVD
Second Line	:	SUITE 500
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4917
Country	:	US
Telephone Number	:	323-761-8816
Fax Number	:	323-761-8801

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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