| Pollack Psychotherapy Group, Inc. | |
|
617 Victoria Ave Venice CA 90291-4834 | |
| (310) 845-6847 | |
| Not Available |
| Full Name | Pollack Psychotherapy Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 617 Victoria Ave, Venice, California |
| Authorized Official Name and Position | Tracy Pollack (PRESIDENT) |
| Authorized Official Contact | 3108456847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pollack Psychotherapy Group, Inc. 617 Victoria Ave Venice CA 90291-4834 Ph: (310) 845-6847 | Pollack Psychotherapy Group, Inc. 617 Victoria Ave Venice CA 90291-4834 Ph: (310) 845-6847 |
| NPI Number | 1982311643 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982311643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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