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Organization
SUSAN GRAYSEN PHD A PSYCHOLOGICAL CORPORATION
Active
Organization
SUSAN GRAYSEN PHD A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN GRAYSEN PHD (PRESIDENT)
(310) 277-7838
Entity
Organization
Contact information
Practice address
9777 WILSHIRE BLVD STE 1007, BEVERLY HILLS, CA 90212-1901
(310) 277-7838
(310) 559-9802
Mailing address
10573 W PICO BLVD, # 242, LOS ANGELES, CA 90064-2333
(310) 277-7838
(310) 559-9802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11434
CA
Other
Enumeration date
12/06/2006
Last updated
07/02/2021
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