| Bright Haven Psychology Pc | |
|
12000 Riverside Dr Unit 332 Valley Village CA 91607-6020 | |
| (747) 447-7355 | |
| Not Available |
| Full Name | Bright Haven Psychology Pc |
|---|---|
| Speciality | Psychologist |
| Location | 12000 Riverside Dr Unit 332, Valley Village, California |
| Authorized Official Name and Position | Heather Charisse Hettinger (CHIEF EXECUTIVE OFFICER, PRESIDENT) |
| Authorized Official Contact | 7474477355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Haven Psychology Pc 4804 Laurel Canyon Blvd # 1254 Valley Village CA 91607-3717 Ph: (747) 447-7355 | Bright Haven Psychology Pc 12000 Riverside Dr Unit 332 Valley Village CA 91607-6020 Ph: (747) 447-7355 |
| NPI Number | 1780528711 |
|---|---|
| Provider Enumeration Date | 04/18/2026 |
| Last Update Date | 04/18/2026 |
| Certification Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780528711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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