| Lovingly Quitania Park, Ph.d. | |
|
1560 E Chevy Chase Dr Glendale CA 91206-4197 | |
| (818) 800-8697 | |
| Not Available |
| Full Name | Lovingly Quitania Park, Ph.d. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1560 E Chevy Chase Dr, Glendale, California |
| Authorized Official Name and Position | Lovingly Quitania Park (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8188008697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovingly Quitania Park, Ph.d. Po Box 1292 La Canada CA 91012-5292 Ph: () - | Lovingly Quitania Park, Ph.d. 1560 E Chevy Chase Dr Glendale CA 91206-4197 Ph: (818) 800-8697 |
| NPI Number | 1376922617 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376922617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY25525 (California) | Primary |
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