| Bruce L. Whitney, Ph.d., A Pscyhology Corporation | |
|
2393 Townsgate Rd Ste 100a Westlake Village CA 91361-2513 | |
| (805) 496-2343 | |
| (805) 214-3552 |
| Full Name | Bruce L. Whitney, Ph.d., A Pscyhology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 2393 Townsgate Rd Ste 100a, Westlake Village, California |
| Authorized Official Name and Position | Laurie B Whitney (CORPORATE SECRETARY) |
| Authorized Official Contact | 8058571289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L. Whitney, Ph.d., A Pscyhology Corporation 2239 Townsgate Rd Ste 104 Westlake Village CA 91361-2429 Ph: (805) 496-2343 | Bruce L. Whitney, Ph.d., A Pscyhology Corporation 2393 Townsgate Rd Ste 100a Westlake Village CA 91361-2513 Ph: (805) 496-2343 |
| NPI Number | 1467631218 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 12/17/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 2062400328 |
|---|---|
| Medicare Enrollment ID | O20040504001746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467631218 | NPI | - | NPPES |
| W17146 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY14884 (California) | Primary |
| Provider Name | Bruce L Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790764389 PECOS PAC ID: 5698763951 Enrollment ID: I20040506000496 |
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