NPI 1093156630

Neuropsychologyca

Organisation Clinical Neuropsychologist Beverly Hills, CA

Practice location

Address: 9663 Santa Monica Blvd # 1058, Beverly Hills, CA 90210-4303
Phone: (424) 245-5524

Authorised official

Name: Alexandrea Park
Title: Executive
Phone: (424) 245-5524

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 25773 (CA)

Other Clinical Neuropsychologist providers in California →

Health Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TH0004X Licence 25773 (CA)

Other Psychologist providers in California →

Registry record

NPI: 1093156630
Entity type: Organization
NPI issued: 11 Jul 2013
Record last updated: 23 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.