| Boston Child Study Center Los Angeles Licensed Clinical Social Work Se | |
|
11400 W Olympic Blvd Ste 200 Los Angeles CA 90064-1584 | |
| (888) 225-1995 | |
| Not Available |
| Full Name | Boston Child Study Center Los Angeles Licensed Clinical Social Work Se |
|---|---|
| Speciality | Psychologist |
| Location | 11400 W Olympic Blvd Ste 200, Los Angeles, California |
| Authorized Official Name and Position | Ryan J Madigan (FOUNDER & DIRECTOR) |
| Authorized Official Contact | 6172990228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Child Study Center Los Angeles Licensed Clinical Social Work Se 729 Boylston St Fl 5 Boston MA 02116-2639 Ph: (617) 299-0228 | Boston Child Study Center Los Angeles Licensed Clinical Social Work Se 11400 W Olympic Blvd Ste 200 Los Angeles CA 90064-1584 Ph: (888) 225-1995 |
| NPI Number | 1992273338 |
|---|---|
| Provider Enumeration Date | 11/04/2018 |
| Last Update Date | 11/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992273338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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