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NPI Code Detail

MEDICARE: DR. TREVOR LUDINGTON PSYD

MEDICARE: DR. TREVOR LUDINGTON PSYD
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 Psychologist3773TN
2103TC0700XClinical Psychologist33494CA

General Provider Information

NPI Number : 1881295483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVOR LUDINGTON PSYD
Provider Business Mailing Address
First Line : 875 S WESTLAKE BLVD STE 211
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-2925
Country : US
Telephone Number : 805-390-3582
Fax Number :
Provider Business Practice Location Address
First Line : 875 S WESTLAKE BLVD STE 211
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-2925
Country : US
Telephone Number : 805-449-4375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2020
Last Update Date : 08/25/2022

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Directions to “ DR. TREVOR LUDINGTON PSYD” Practice Location

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