Lauren D. Costine, Phd
Psychologist in Woodland Hills, CA. Organization (NPI-2).
NPI number1336780394
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1336780394
- Entity type
- Organization (NPI-2)
- Legal business name
- Lauren D. Costine, Phd
- Organization subpart
- No
- Enumeration date
- Oct 1, 2019
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
21243 Ventura Blvd Ste 118Woodland Hills, CA 91364-2162
Phone 310-399-9006 · Fax 818-888-7218
Mailing address
21243 Ventura Blvd Ste 118Woodland Hills, CA 91364-2162
Phone 310-399-9006 · Fax 818-888-7218
Authorized official
Lauren Costine
Owner
3103999006
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