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Organization
NORTH EAST LOS ANGELES PSYCHOLOGY
Active
Organization
NORTH EAST LOS ANGELES PSYCHOLOGY
Active
Other names
NELA Psych
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAIN MILLER PSYD (PRESIDENT)
(310) 571-8616
Entity
Organization
Contact information
Practice address
380 S LAKE AVE STE 205, PASADENA, CA 91101-5063
(310) 571-8616
Mailing address
12360 RIVERSIDE DR APT 340, VALLEY VILLAGE, CA 91607-3660
(310) 314-0603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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