Balestrieri Psychology Services, PA
Clinic/Center, Mental Health (Including Community Mental Health Center) in Beverly Hills, CA. Organization (NPI-2).
NPI number1780334474
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1780334474
- Entity type
- Organization (NPI-2)
- Legal business name
- Balestrieri Psychology Services, PA
- Organization subpart
- No
- Enumeration date
- Mar 25, 2022
- Certification date
- Mar 7, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Modern Intimacy (Doing Business As)
Practice location
9152 Alden DrUnit 9
Beverly Hills, CA 90210
Phone 310-299-2040
Mailing address
9903 Santa Monica Blvd Ste 823Beverly Hills, CA 90212-1671
Phone 310-299-2040
Authorized official
Catherine Balestrieri
Founder
3109931664
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