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Organization
PSYCHE THERAPY INC.
Active
Organization
PSYCHE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLENI KOULOS PSYD (CLINICAL PSYCHOLOGIST)
(818) 790-0418
Entity
Organization
Contact information
Practice address
1346 FOOTHILLL BLVD, SUITE 304, LA CANADA, CA 91011
(818) 790-0418
Mailing address
1346 FOOTHILLL BLVD, SUITE 304, LA CANADA, CA 91011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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