| Marilisa Raju, Phd Psychologist, A Professional Corporation | |
|
2447 Pacific Coast Hwy Ste 200 Hermosa Beach CA 90254-2714 | |
| (909) 206-5219 | |
| Not Available |
| Full Name | Marilisa Raju, Phd Psychologist, A Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2447 Pacific Coast Hwy Ste 200, Hermosa Beach, California |
| Authorized Official Name and Position | Marilisa Raju (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9092065219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilisa Raju, Phd Psychologist, A Professional Corporation 12625 Frederick Street St #i5-150 Moreno Valley CA 92553 Ph: (909) 206-5219 | Marilisa Raju, Phd Psychologist, A Professional Corporation 2447 Pacific Coast Hwy Ste 200 Hermosa Beach CA 90254-2714 Ph: (909) 206-5219 |
| NPI Number | 1710776323 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710776323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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