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Organization
SOI COUNSELING & PSYCHOLOGICAL TESTING CENTER
Active
Organization
SOI COUNSELING & PSYCHOLOGICAL TESTING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE L YOUNG (OFFICE MANAGER)
(310) 546-6500
Entity
Organization
Contact information
Practice address
2007 CEDAR AVE, MANHATTAN BEACH, CA 90266-2955
(310) 546-6500
(310) 546-9068
Mailing address
2007 CEDAR AVE, MANHATTAN BEACH, CA 90266-2955
(310) 546-6500
(310) 546-9068
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083728299
INDIVIDUAL
CA
Enumeration date
09/26/2011
Last updated
09/26/2011
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