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NPI Code Detail

MEDICARE: DR. BETH MEYER-BULLEY

MEDICARE:  DR. BETH  MEYER-BULLEY
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 Psychologist30817CA
2103T00000XPsychologist30817CA

General Provider Information

NPI Number : 1952824427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETH MEYER-BULLEY
Provider Business Mailing Address
First Line : 1308 E COLORADO BLVD # 3351
Second Line :
City : PASADENA
State : CA
Zip : 91106-1932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1308 E COLORADO BLVD # 3351
Second Line :
City : PASADENA
State : CA
Zip : 91106-1932
Country : US
Telephone Number : 909-206-4652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 06/30/2025

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Directions to “ DR. BETH MEYER-BULLEY ” Practice Location

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