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Organization
RECONNECT RELATIONSHIP, A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization
RECONNECT RELATIONSHIP, A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT CHALEPAS (PRESIDENT)
(310) 500-8442
Entity
Organization
Contact information
Practice address
499 N CANON DR STE 216, BEVERLY HILLS, CA 90210-4887
(310) 500-8442
(855) 881-3484
Mailing address
499 N CANON DR STE 216, BEVERLY HILLS, CA 90210-4887
(310) 500-8442
(855) 881-3484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY23708
MEDICAL LICENSE
CA
Enumeration date
05/15/2020
Last updated
05/15/2020
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