# UCLA, STUDENT PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427246610
- **Authorized official:** DR. ELIZABETH GONG-GUY PH.D (DIRECTOR)
- **Authorized official phone:** (310) 825-0768

## Contact information

- **Practice address:** 221 WESTWOOD PLAZA, JOHN WOODEN CENTER WEST, LOS ANGELES, CA 90095-0001
- **Practice address phone:** (310) 825-0768
- **Mailing address:** 221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-1556
- **Mailing address phone:** (310) 825-0768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | LCS 20905 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 10/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LCS 20905 | LCSW | CA |