MOLLY BURRETS


Address: 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979
Phone: 7163103562

MOLLY BURRETS (NPI# 1538787874) 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) 1538787874
Entity Type Individual
Full Name MOLLY BURRETS
Credential PHD
Practice Address 5619 N Figueroa St Apt 219
Los Angeles
CA 90042-4979
Mailing Address 4628 Twining St
Los Angeles
CA 90032-2035
Practice Telephone 7163103562
Mailing Telephone 7163103562
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
31378 CA Behavioral Health & Social Service Providers

Office Location

Street Address 5619 N FIGUEROA ST APT 219
City LOS ANGELES
State CA
Zip Code 90042-4979

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1043744055 Magdalene Elise Wilhelm Counselor 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 2017-04-17
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1164977427 Jennifer Ann Walters Marriage & Family Therapist 4809 York Blvd, Los Angeles, CA 90042 2016-08-16
1073922415 Michael Gerald Bauer Marriage & Family Therapist 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 2014-08-11
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1730480682 Stat Response Ambulance, Inc. Secured Medical Transport (VAN) 4750 York Blvd., Los Angeles, CA 90042 2010-11-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1770100737 Mary Carde Psychologist 1572 Ensley Ave, Los Angeles, CA 90024-5325 2020-06-25
1134745193 Bloom Psychology, Inc. Psychologist 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 2020-06-24
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Competitor

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City LOS ANGELES
Zip Code 90042

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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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