Organization
ANNELIE S PURDY PHD INC
Active
Other names
Annelie S Purdy PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNELIE S PURDY PHD (PSYCHOLOGIST)
(805) 349-9706
Entity
Organization
Contact information
Practice address
433 SO LINCOLN STREET, ANNELIE S PURDY PHD INC, SANTA MARIA, CA 93458
(805) 349-9706
(805) 349-0576
Mailing address
433 SOUTH LINCOLN STREET, SANTA MARIA, CA 93458
(805) 349-9706
(805) 349-0576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL54520
—
CA
01
—
151010
VALUE OPTION
CA
01
—
6128337
BLUE SHIELD UBH
CA
Enumeration date
02/05/2008
Last updated
02/05/2008
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