Maat | |
3500 W Manchester Blvd Inglewood CA 90305-2164 | |
(323) 855-7527 | |
Not Available |
Full Name | Maat |
---|---|
Speciality | Psychologist |
Location | 3500 W Manchester Blvd, Inglewood, California |
Authorized Official Name and Position | Lance R Lenford (CLINICAL 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 Inglewood CA 90305-2164 Ph: (323) 855-7527 |
NPI Number | 1356120240 |
---|---|
Provider Enumeration Date | 09/28/2023 |
Last Update Date | 09/28/2023 |
Certification Date | 08/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356120240 | NPI | - | NPPES |
1598121667 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
347D00000X | Train | (* (Not Available)) | Secondary |
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