| Greenway Clinic Of Psychological Services Inc | |
|
3322 Barham Blvd Los Angeles CA 90068-1404 | |
| (323) 851-3200 | |
| (323) 851-3215 |
| Full Name | Greenway Clinic Of Psychological Services Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3322 Barham Blvd, Los Angeles, California |
| Authorized Official Name and Position | Sookyung K. Chang (CEO) |
| Authorized Official Contact | 3238513200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenway Clinic Of Psychological Services Inc Po Box 55458 Sherman Oaks CA 91413-0458 Ph: (323) 851-3200 | Greenway Clinic Of Psychological Services Inc 3322 Barham Blvd Los Angeles CA 90068-1404 Ph: (323) 851-3200 |
| NPI Number | 1407159791 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407159791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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