| Lauren D. Costine, Phd | |
|
21243 Ventura Blvd Ste 118 Woodland Hills CA 91364-2162 | |
| (310) 399-9006 | |
| (818) 888-7218 |
| Full Name | Lauren D. Costine, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 21243 Ventura Blvd Ste 118, Woodland Hills, California |
| Authorized Official Name and Position | Lauren Costine (OWNER) |
| Authorized Official Contact | 3103999006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren D. Costine, Phd 21243 Ventura Blvd Ste 118 Woodland Hills CA 91364-2162 Ph: (310) 399-9006 | Lauren D. Costine, Phd 21243 Ventura Blvd Ste 118 Woodland Hills CA 91364-2162 Ph: (310) 399-9006 |
| NPI Number | 1336780394 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336780394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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