| Maat | |
|
3500 W Manchester Blvd Inglewood CA 90305-2164 | |
| (323) 855-7527 | |
| Not Available |
| Full Name | Maat |
|---|---|
| Speciality | Psychologist |
| Location | 3500 W Manchester Blvd, Inglewood, California |
| Authorized Official Name and Position | Lance R Lenford (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3103882611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maat 6230 Wilshire Blvd Ste A Los Angeles CA 90048-5126 Ph: (310) 388-2611 | Maat 3500 W Manchester Blvd Inglewood CA 90305-2164 Ph: (323) 855-7527 |
| NPI Number | 1356120240 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356120240 | NPI | - | NPPES |
| 1598121667 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 347D00000X | Train | (* (Not Available)) | Secondary |
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