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Organization
LA VIE PSYCHOLOGY GROUP, INC.
Active
Organization
LA VIE PSYCHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W BAKER PH.D. (PRESIDENT)
(626) 351-9616
Entity
Organization
Contact information
Practice address
650 SIERRA MADRE VILLA AVE, SUITE 110, PASADENA, CA 91107-2013
(626) 351-9616
(626) 351-9493
Mailing address
650 SIERRA MADRE VILLA AVE, SUITE 110, PASADENA, CA 91107-2013
(626) 351-9616
(626) 351-9493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9219
CA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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