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Contact Information

BERTRINA O WEST
10475 MEDLOCK BRIDGE RD
205
DULUTH, GA30097
 Phone: 602-330-5032
 Fax:
 Website: http://www.outoftheboxccc.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BERTRINA O WEST · (Female)

NPI Number 1265993927
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2019
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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