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Organization
TINA BAHADOR, P.HD., A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization
TINA BAHADOR, P.HD., A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA BAHADOR PH.D. (CEO-LICENSED CLINICAL PSYCHOLOGIST)
(310) 922-3027
Entity
Organization
Contact information
Practice address
2730 WILSHIRE BLVD, SUITE 543, SANTA MONICA, CA 90403
(310) 922-4576
Mailing address
2730 WILSHIRE BLVD, SUITE 543, SANTA MONICA, CA 90403
(310) 922-4576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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