| Golden State Psychological Services, Inc. | |
|
12658 Tiara St # 1 Valley Village CA 91607-1023 | |
| (818) 943-8899 | |
| Not Available |
| Full Name | Golden State Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 12658 Tiara St # 1, Valley Village, California |
| Authorized Official Name and Position | Anna Levi (CEO) |
| Authorized Official Contact | 8189438899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden State Psychological Services, Inc. 12658 Tiara St # 1 Valley Village CA 91607-1023 Ph: (818) 943-8899 | Golden State Psychological Services, Inc. 12658 Tiara St # 1 Valley Village CA 91607-1023 Ph: (818) 943-8899 |
| NPI Number | 1528523321 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528523321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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