Psychological Center For Treatment & Eval | |
18345 Ventura Blvd Ste 300 Tarzana CA 91356-4242 | |
(323) 655-8777 | |
(310) 475-8236 |
Full Name | Psychological Center For Treatment & Eval |
---|---|
Speciality | Psychologist |
Location | 18345 Ventura Blvd Ste 300, Tarzana, California |
Authorized Official Name and Position | George Gamez (OWNER/PRESIDENT) |
Authorized Official Contact | 3104755236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychological Center For Treatment & Eval Po Box 34850 Los Angeles CA 90034-0850 Ph: (323) 655-8777 | Psychological Center For Treatment & Eval 18345 Ventura Blvd Ste 300 Tarzana CA 91356-4242 Ph: (323) 655-8777 |
NPI Number | 1891070017 |
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Provider Enumeration Date | 10/19/2011 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891070017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY 5172 (California) | Primary |
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