The Family Depot Psychological Services, Inc.

NPI 1295179356 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1295179356
Enumeration Date 04/19/2013
Last Updated 04/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROSA M ROSA
Position CEO
Phone (562) 537-5580
Fax (323) 585-5928
Practice Location
20833 SEINE AVE
LAKEWOOD CA, 90715-1440, US
Phone (562) 537-5580
Fax (323) 585-5928
Business Location
20833 SEINE AVE
LAKEWOOD CA, 90715-1440, US
Phone (562) 537-5580
Fax (323) 585-5928
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number PSY17410
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According to our database, The Family Depot Psychological Services, Inc. NPI is 1295179356, taxonomy code is 251S00000X and license number is PSY17410, license state is located at California. The Family Depot Psychological Services, Inc. physically located at 20833 Seine Ave, Lakewood CA, 90715-1440. NPI Number 1033115704 has the healthcare provider type.

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1295179356 NPI number is provided on an as is basis without warranty of any kind. 1295179356 is maintained by the National Plan & Provider Enumeration System. The contents of The Family Depot Psychological Services, Inc. are for informational purposes only.