Grow True Psychology Professional Corporation
Psychologist in Los Angeles, CA. Organization (NPI-2).
NPI number1962078477
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1962078477
- Entity type
- Organization (NPI-2)
- Legal business name
- Grow True Psychology Professional Corporation
- Organization subpart
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
11990 San Vicente Blvd Ste 250Los Angeles, CA 90049-6608
Phone 805-601-6055
Mailing address
11990 San Vicente Blvd Ste 250Los Angeles, CA 90049-6608
Phone 805-601-6055
Authorized official
Samantha Othene Munson
Owner/President
8056016055
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