| Cognitive Behavior Therapy Center Of Southern California | |
|
601 E Glenoaks Blvd Suite 102 Glendale CA 91207-1700 | |
| (818) 547-2623 | |
| (310) 831-4319 |
| Full Name | Cognitive Behavior Therapy Center Of Southern California |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 601 E Glenoaks Blvd, Glendale, California |
| Authorized Official Name and Position | Rodney Paul Boone (PRESIDENT) |
| Authorized Official Contact | 8185472623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Behavior Therapy Center Of Southern California 601 E Glenoaks Blvd Suite 102 Glendale CA 91207-1700 Ph: (818) 547-2623 | Cognitive Behavior Therapy Center Of Southern California 601 E Glenoaks Blvd Suite 102 Glendale CA 91207-1700 Ph: (818) 547-2623 |
| NPI Number | 1427172212 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 07/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427172212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY10046 (California) | Primary |
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