| South Bay Therapy | |
|
2413 Burritt Ave Redondo Beach CA 90278-1501 | |
| (310) 936-8840 | |
| Not Available |
| Full Name | South Bay Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2413 Burritt Ave, Redondo Beach, California |
| Authorized Official Name and Position | Michael Alan Pearson (OWNER) |
| Authorized Official Contact | 3109368840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Therapy 1500 Rosecrans Ave Ste 500 Manhattan Beach CA 90266-3771 Ph: (310) 936-8840 | South Bay Therapy 2413 Burritt Ave Redondo Beach CA 90278-1501 Ph: (310) 936-8840 |
| NPI Number | 1003681081 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003681081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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