| Tina Bahador, P.hd., A Professional Psychology Corporation | |
|
2730 Wilshire Blvd Suite 543 Santa Monica CA 90403 | |
| (310) 922-4576 | |
| Not Available |
| Full Name | Tina Bahador, P.hd., A Professional Psychology Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2730 Wilshire Blvd, Santa Monica, California |
| Authorized Official Name and Position | Tina Bahador (CEO-LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3109223027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Bahador, P.hd., A Professional Psychology Corporation 2730 Wilshire Blvd Suite 543 Santa Monica CA 90403 Ph: (310) 922-4576 | Tina Bahador, P.hd., A Professional Psychology Corporation 2730 Wilshire Blvd Suite 543 Santa Monica CA 90403 Ph: (310) 922-4576 |
| NPI Number | 1619628245 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619628245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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