| Maat | |
|
3500 W Manchester Blvd Unit 349 Inglewood CA 90305-4349 | |
| (323) 855-7527 | |
| Not Available |
| Full Name | Maat |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3500 W Manchester Blvd Unit 349, Inglewood, California |
| Authorized Official Name and Position | Lance Lenford (I/O 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 Unit 349 Inglewood CA 90305-4349 Ph: (323) 855-7527 |
| NPI Number | 1073359683 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073359683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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