Myisha Driver, PHD is a
Psychologist - Clinical based in Los Angeles, California. Myisha Driver is licensed to practice in California (license number 33142) and her current practice location is
4650 W Sunset Blvd # 53, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 361-3894.
NPI number for Myisha Driver is 1629108030 and her current mailing address is 4650 Sunset Blvd, Ms#53, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629108030.
Healthcare Provider's Profile
| Full Name | Myisha Driver |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 4650 W Sunset Blvd # 53, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629108030
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Myisha Driver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629108030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | LMFT42174 (California) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33142 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myisha Driver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Myisha Driver, PHD
4650 Sunset Blvd, Ms#53,
Los Angeles, CA 90027-6062
Ph: (323) 361-3894 | Myisha Driver, PHD
4650 W Sunset Blvd # 53,
Los Angeles, CA 90027
Ph: (323) 361-3894 |
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