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ANNELIE S PURDY PHD INC NPI 1336327071


NPI Information

NPI: 1336327071
Provider Name: ANNELIE S PURDY PHD INC

Other Name: ANNELIE S PURDY PHD

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
433 SO LINCOLN STREET
ANNELIE S PURDY PHD INC
SANTA MARIA, CA
ZIP 93458
Phone: (805) 349-9706
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ANNELIE S PURDY PHD INC is a clinical psychologist in Santa Maria, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ANNELIE S PURDY PHD INC NPI is 1336327071. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Annelie S Purdy Phd.

The provider's business location address is:

433 SO LINCOLN STREET
ANNELIE S PURDY PHD INC
SANTA MARIA, CA
ZIP 93458
Phone: (805) 349-9706
Fax: (805) 349-0576

The provider's authorized official is Annelie S Purdy .
The authorized official title is Psychologist and has the following contact phone number (805) 349-9706.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY5452CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100PL54520MEDICAIDCALIFORNIA
2CP5452MEDICARE PINCALIFORNIA
3151010OTHERCALIFORNIAVALUE OPTION
46128337OTHERCALIFORNIABLUE SHIELD UBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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