1508148313 NPI number — MARY LYNN RAPIER, PHD A PSYCHOLOGY CORP

Table of content: RHODA MARIE D'OYLEY RN (NPI 1497999080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508148313 NPI number — MARY LYNN RAPIER, PHD A PSYCHOLOGY CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARY LYNN RAPIER, PHD A PSYCHOLOGY CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508148313
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
462 N LINDEN DR STE 434
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEVERLY HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90212-2429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-281-1747
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
462 N LINDEN DR STE 434
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90212-2429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-281-1747
Provider Business Practice Location Address Fax Number:
310-459-4480
Provider Enumeration Date:
09/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RAPIER
Authorized Official First Name:
MARY
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
310-281-1747

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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