Provider Demographics
NPI:1720795941
Name:BETTER PSYCH SERVICES CORP
Entity Type:Organization
Organization Name:BETTER PSYCH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL FORENSIC PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAZZMIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HICKS-BONAM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:661-234-6001
Mailing Address - Street 1:21213B HAWTHORNE BLVD # 5647
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5501
Mailing Address - Country:US
Mailing Address - Phone:661-234-6001
Mailing Address - Fax:661-459-5076
Practice Address - Street 1:21515 HAWTHORNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6512
Practice Address - Country:US
Practice Address - Phone:661-234-6001
Practice Address - Fax:661-459-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA32243OtherCLINICAL PSYCHOLOGIST