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Organization
MCRORY PEDIATRIC SERVICES
Active
Organization
MCRORY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCRORY M.B.A. (CEO)
(818) 501-8352
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 501-8352
(818) 501-8325
Mailing address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 501-8352
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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