DR. BETTINA A. SOESTWOHNER


Address: 1106 S Tremaine Ave, Los Angeles, CA 90019-1720
Phone: 3239371053

DR. BETTINA A. SOESTWOHNER (NPI# 1376771840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376771840
Entity Type Individual
Full Name DR. BETTINA A. SOESTWOHNER
Credential PH.D., PSY.D.
Practice Address 1106 S Tremaine Ave
Los Angeles
CA 90019-1720
Practice Telephone 3239371053
Mailing Telephone 3239371053
Enumeration Date 2009-06-23
Last Update Date 2009-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
RP 76 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1106 S TREMAINE AVE
City LOS ANGELES
State CA
Zip Code 90019-1720

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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