John Brent Lague, PSYD in Glendale, CA - Psychologist

John Brent Lague, PSYD is a Psychologist - Clinical based in Glendale, California. John Brent Lague is licensed to practice in California (license number PSY24031) and his current practice location is 1101 N Pacific Ave Ste 204, Glendale, California. He can be reached at his office (for appointments etc.) via phone at (626) 806-8652.

NPI number for John Brent Lague is 1124673447 and his current mailing address is 202 N Madison Ave, Monrovia, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124673447.

Contact Information

	John Brent Lague, PSYD
	1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316
	(626) 806-8652
	Not Available

Healthcare Provider's Profile

Full Name	John Brent Lague
Gender	Male
Speciality	Psychologist - Clinical
Location	1101 N Pacific Ave Ste 204, Glendale, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1124673447
Provider Enumeration Date: 08/04/2019
Last Update Date: 08/04/2019

Medical Identifiers

Medical identifiers for John Brent Lague such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124673447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY24031 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Brent Lague is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John Brent Lague, PSYD 202 N Madison Ave, Monrovia, CA 91016-1553 Ph: (626) 806-8652	John Brent Lague, PSYD 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 Ph: (626) 806-8652

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John Brent Lague, PSYD - Psychologist in Glendale, CA