Individual
DOROTHY BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
135 S JACKSON ST STE 204, GLENDALE, CA 91205-4918
(323) 806-1623
Mailing address
135 S JACKSON ST STE 204, GLENDALE, CA 91205-4918
(323) 806-1623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261511
—
CA
Enumeration date
12/11/2013
Last updated
10/11/2024
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