| For Families, Psychology Group | |
|
12260 Ventura Blvd., Suite Ll30 Encino CA 91436 | |
| (818) 990-5906 | |
| (818) 990-5904 |
| Full Name | For Families, Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 12260 Ventura Blvd., Suite Ll30, Encino, California |
| Authorized Official Name and Position | Clarita Wisnia (PRESIDENT) |
| Authorized Official Contact | 8189905906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For Families, Psychology Group 16260 Ventura Blvd. Suite Ll30 Encino CA 91436 Ph: (818) 990-5906 | For Families, Psychology Group 12260 Ventura Blvd., Suite Ll30 Encino CA 91436 Ph: (818) 990-5906 |
| NPI Number | 1154761146 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154761146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY13323 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | LCS 22300 (California) | Secondary |
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