| Mindwaves Psychological Services, Inc. | |
|
4335 Van Nuys Blvd 184 Sherman Oaks CA 91403-3727 | |
| (626) 331-6170 | |
| Not Available |
| Full Name | Mindwaves Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4335 Van Nuys Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | John T Terrence (OWNER) |
| Authorized Official Contact | 6263316170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwaves Psychological Services, Inc. 4335 Van Nuys Blvd 184 Sherman Oaks CA 91403-3727 Ph: (626) 331-6170 | Mindwaves Psychological Services, Inc. 4335 Van Nuys Blvd 184 Sherman Oaks CA 91403-3727 Ph: (626) 331-6170 |
| NPI Number | 1225348832 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225348832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY17840 (California) | Primary |
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