| Ivan West Greenspan Psyd | |
|
6022 Evenhaim Lane Tarzana CA 91356 | |
| (818) 970-3172 | |
| Not Available |
| Full Name | Ivan West Greenspan Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 6022 Evenhaim Lane, Tarzana, California |
| Authorized Official Name and Position | Ivan West Greenspan (PRESIDENT) |
| Authorized Official Contact | 8189703172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan West Greenspan Psyd 6022 Evenhaim Lane Tarzana CA 91356 Ph: (818) 970-3172 | Ivan West Greenspan Psyd 6022 Evenhaim Lane Tarzana CA 91356 Ph: (818) 970-3172 |
| NPI Number | 1932323169 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932323169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY18686 (California) | Primary |
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