Mickeal Pugh JR., PHD

NPI #1093597601 in Beverly Hills, California

Provider Information

NPI Number: 1093597601
Entity Type: Individual
Name: Mickeal Pugh JR., PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 18, 2023
Last Updated: Jun 6, 2025

Practice Location

Address: 9675 BRIGHTON WAY STE 422
City: Beverly Hills
State: California
ZIP Code: 90210-5139
Phone: (310) 273-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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