| Waterside Psychology Pc | |
|
3353 Shelby Dr Apt 206 Los Angeles CA 90034-2777 | |
| (917) 770-6207 | |
| Not Available |
| Full Name | Waterside Psychology Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3353 Shelby Dr Apt 206, Los Angeles, California |
| Authorized Official Name and Position | Mark Papp (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9177706207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterside Psychology Pc 3353 Shelby Dr Apt 206 Los Angeles CA 90034-2777 Ph: () - | Waterside Psychology Pc 3353 Shelby Dr Apt 206 Los Angeles CA 90034-2777 Ph: (917) 770-6207 |
| NPI Number | 1013735174 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013735174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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