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Organization
MARA TANSMAN, PSY.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Active
Organization
MARA TANSMAN, PSY.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARA TANSMAN PSY.D. (PRESIDENT)
(310) 734-0306
Entity
Organization
Contact information
Practice address
10323 SANTA MONICA BLVD, LOS ANGELES, CA 90025-6071
(310) 734-0306
Mailing address
1445 S CASTELLO AVE, LOS ANGELES, CA 90035-2807
(310) 734-0306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16710
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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