| New Awakenings Therapy | |
|
15720 Ventura Blvd Suite 603 Encino CA 91436-2914 | |
| (818) 217-1647 | |
| Not Available |
| Full Name | New Awakenings Therapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Christina Barber-addis (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8182171647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Awakenings Therapy 15720 Ventura Blvd Suite 603 Encino CA 91436-2914 Ph: (818) 217-1647 | New Awakenings Therapy 15720 Ventura Blvd Suite 603 Encino CA 91436-2914 Ph: (818) 217-1647 |
| NPI Number | 1609247410 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609247410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23026 (California) | Primary |
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