Individual
DR. BELETHIA LOVISE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1529 E PALMDALE BLVD, SUITE 210, PALMDALE, CA 93550-2034
(661) 272-9996
Mailing address
2138 TANGERINE ST, PALMDALE, CA 93551-6226
(661) 267-6080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
RPS2007057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007301
—
CA
01
—
CBSC249
LA DMH PROVIDER
CA
Enumeration date
03/28/2007
Last updated
07/09/2007
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