Blair Wellness Group A Professional Psychological Corp | |
9454 Wilshire Blvd Ph6 Beverly Hills CA 90212-2937 | |
(310) 866-6414 | |
Not Available |
Full Name | Blair Wellness Group A Professional Psychological Corp |
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Speciality | Psychologist - Clinical |
Location | 9454 Wilshire Blvd Ph6, Beverly Hills, California |
Authorized Official Name and Position | Cassiby F Blair (OWNER) |
Authorized Official Contact | 3108666414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blair Wellness Group A Professional Psychological Corp 12021 Wilshire Blvd # 430 Los Angeles CA 90025-1206 Ph: (310) 866-6414 | Blair Wellness Group A Professional Psychological Corp 9454 Wilshire Blvd Ph6 Beverly Hills CA 90212-2937 Ph: (310) 866-6414 |
NPI Number | 1962941450 |
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Provider Enumeration Date | 02/16/2017 |
Last Update Date | 03/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962941450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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