| Geriatric Evaluation & Neuropsychological Services, Inc | |
|
15235 Burbank Blvd A4 Van Nuys CA 91411-3500 | |
| (818) 314-8088 | |
| (818) 708-8498 |
| Full Name | Geriatric Evaluation & Neuropsychological Services, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15235 Burbank Blvd, Van Nuys, California |
| Authorized Official Name and Position | Jena Avital Kravitz (PRESIDENT) |
| Authorized Official Contact | 8183148088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Evaluation & Neuropsychological Services, Inc 18375 Ventura Blvd 578 Tarzana CA 91356-4218 Ph: (818) 314-8088 | Geriatric Evaluation & Neuropsychological Services, Inc 15235 Burbank Blvd A4 Van Nuys CA 91411-3500 Ph: (818) 314-8088 |
| NPI Number | 1992938278 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992938278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21989 (California) | Primary |
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