Organization · NPI-2

Family Psychological Clinic INC

Psychologist, Clinical · Valley Village, CA

NPI number1265289300
StatusActive
Last updated in NPPESMay 6, 2024

Details

NPI
1265289300
Entity type
Organization (NPI-2)
Legal business name
Family Psychological Clinic INC
Organization subpart
No
Enumeration date
May 6, 2024
Certification date
May 6, 2024
Last updated
May 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes

Practice location

12301 Califa St
Valley Village, CA 91607-1106

Phone 310-500-5193

Mailing address

12301 Califa St
Valley Village, CA 91607-1106

Phone 310-500-5193

Authorized official

Shully Salman
Owner
3105005193

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