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Organization
MINDWAVES PSYCHOLOGICAL SERVICES, INC.
Active
Organization
MINDWAVES PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T TERRENCE PSYD, PHD (OWNER)
(626) 331-6170
Entity
Organization
Contact information
Practice address
4335 VAN NUYS BLVD, 184, SHERMAN OAKS, CA 91403-3727
(626) 331-6170
Mailing address
4335 VAN NUYS BLVD, 184, SHERMAN OAKS, CA 91403-3727
(626) 331-6170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17840
CA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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