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Contact Information

ANNELIE S PURDY PHD INC
433 SO LINCOLN STREET
ANNELIE S PURDY PHD INC
SANTA MARIA, CA93458
 Phone: 805-349-9706
 Fax: 805-349-0576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANNELIE S PURDY PHD INC

NPI # 1336327071
LBN Legal business name ANNELIE S PURDY PHD INC
Authorized official ANNELIE PURDY - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2008
Last updated 02/05/2008 - About 18 years ago
Identifiers
CA License # PSY5452
CA Medicaid 00PL54520
CA Other 6128337 BLUE SHIELD UBH
CA Other 151010 VALUE OPTION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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