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Contact Information

LYDIA S BANGTSON, PhD
222 W EULALIA ST
SUITE 301
GLENDALE, CA91204-2849
 Phone: 818-240-0108
 Fax: 818-240-0301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LYDIA S BANGTSON · (Female)

NPI # 1093859035
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/15/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY 18278
  • CA License # PSY18278
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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