| Marilyn Shore, Phd, Inc. | |
|
2659 Townsgate Rd Ste 201 Westlake Village CA 91361-2776 | |
| (805) 494-1484 | |
| (805) 494-9677 |
| Full Name | Marilyn Shore, Phd, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2659 Townsgate Rd Ste 201, Westlake Village, California |
| Authorized Official Name and Position | Marilyn Shore (PRESIDENT) |
| Authorized Official Contact | 8054941484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Shore, Phd, Inc. 2659 Townsgate Rd Ste 201 Westlake Village CA 91361-2776 Ph: (805) 494-1484 | Marilyn Shore, Phd, Inc. 2659 Townsgate Rd Ste 201 Westlake Village CA 91361-2776 Ph: (805) 494-1484 |
| NPI Number | 1871154641 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871154641 | NPI | - | NPPES |
| PSY118866 | Other | CA | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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