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Contact Information

FOR FAMILIES, PSYCHOLOGY GROUP
12260 VENTURA BLVD., SUITE LL30
ENCINO, CA91436
 Phone: 818-990-5906
 Fax: 818-990-5904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for FOR FAMILIES PSYCHOLOGY GROUP · (Female)

NPI # 1154761146
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2013
Last updated 12/03/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # LCS 22300
  • CA License # PSY13323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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