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Organization
SELINA MATTHEWS
Active
Organization
SELINA MATTHEWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY WAGNER LPC (OFFICE)
(903) 213-1005
Entity
Organization
Contact information
Practice address
1636 S BARRINGTON AVE SUITE 205, LOS ANGELES, CA 90025-4822
(310) 968-5750
(903) 487-0600
Mailing address
1636 S BARRINGTON AVE APT 205, LOS ANGELES, CA 90025-4084
(310) 968-5750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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