| Westwood-hollywood Psychological Services Inc | |
|
10921 Wilshire Blvd Suite 1214 Los Angeles CA 90024-3906 | |
| (310) 208-7274 | |
| (323) 851-8636 |
| Full Name | Westwood-hollywood Psychological Services Inc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 10921 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Terrence James Mcbride (VICE PRESIDENT) |
| Authorized Official Contact | 3102087274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwood-hollywood Psychological Services Inc 10921 Wilshire Blvd Suite 1214 Los Angeles CA 90024-3906 Ph: (310) 208-7274 | Westwood-hollywood Psychological Services Inc 10921 Wilshire Blvd Suite 1214 Los Angeles CA 90024-3906 Ph: (310) 208-7274 |
| NPI Number | 1356566509 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 06/10/2010 |
| Medicare PECOS PAC ID | 9234269796 |
|---|---|
| Medicare Enrollment ID | O20100609000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356566509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | (* (Not Available)) | Primary |
| Provider Name | Terrence J Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780809939 PECOS PAC ID: 5496885873 Enrollment ID: I20100610001034 |
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