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MUDITA AGARWAL BAHADUR PH.D. NPI 1760519672


NPI Information

NPI: 1760519672
Provider Name: MUDITA AGARWAL BAHADUR, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1137 2ND ST
SUITE 213
SANTA MONICA, CA
ZIP 90403
Phone: (310) 463-7913
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Mudita Agarwal Bahadur, PH.D. is a clinical psychologist in Santa Monica, 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. Mudita Agarwal Bahadur, PH.D. NPI is 1760519672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1137 2ND ST
SUITE 213
SANTA MONICA, CA
ZIP 90403-011
Phone: (310) 463-7913

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/8/2007.


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
1103TC0700XPsychologistClinicalPSY16617CALIFORNIAYes

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: 11/14/2023

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