Dr. Leticia C Amick
Clinical Child & Adolescent Psychologist
121 W Lexington Dr Suite 346
Glendale
, California 91203-2203
Dr. Leticia C Amick
Clinical Child & Adolescent Psychologist
121 W Lexington Dr Suite 346
Glendale
, California 91203-2203
(818) 480-6517
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Leticia C Amick
- 121 W Lexington Dr Suite 346
- Glendale, CA
- Zip : 91203-2203
- Phone : (818) 480-6517
Second Address
- Dr. Leticia C Amick
- 121 W Lexington Dr Suite 346
- Glendale, CA
- Zip : 91203-2203
- Phone : (818) 480-6517
Reviews
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Is Dr. Leticia C Amick a sole practitioner?
Is Dr. Leticia C Amick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3497 | AZ |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY 21549 | CA |
National Provider Identifier
| NPI | 1063490514 |
|---|---|
| Provider Name | Dr. Leticia C Amick |
| First Address | Glendale, CA 91203-2203 |
| Second Address | Glendale, CA 91203-2203 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2006 |
| Last Update Date | 02/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GV818Z | MEDICARE PTAN (01) | CA |
| Q47602 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.