| Wavemind Inc, A Psychology Corporation | |
|
1849 Sawtelle Blvd Ste 610 Los Angeles CA 90025-7013 | |
| (914) 275-5578 | |
| Not Available |
| Full Name | Wavemind Inc, A Psychology Corporation |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1849 Sawtelle Blvd Ste 610, Los Angeles, California |
| Authorized Official Name and Position | Danielle Cornacchio (LICENSED PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 9142755578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wavemind Inc, A Psychology Corporation 1849 Sawtelle Blvd Ste 610 Los Angeles CA 90025-7013 Ph: (914) 275-5578 | Wavemind Inc, A Psychology Corporation 1849 Sawtelle Blvd Ste 610 Los Angeles CA 90025-7013 Ph: (914) 275-5578 |
| NPI Number | 1710579826 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710579826 | NPI | - | NPPES |
| 1528093820 | Other | CA | DR. RONNIE LINDSEY BERGMAN |
| 1396486023 | Other | CA | DR. ANNA ALKOZEI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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