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Organization
THERAPY LAB, INC., A PSYCHOLOGICAL CORPORATION
Active
Organization
THERAPY LAB, INC., A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. N. CHANDLER SIMS CHANG PH.D. (CLINICAL PSYCHOLOGIST)
(323) 455-8080
Entity
Organization
Contact information
Practice address
250 E 1ST ST STE 300, LOS ANGELES, CA 90012-3819
(323) 455-8080
Mailing address
250 E 1ST ST STE 300, LOS ANGELES, CA 90012-3819
(323) 455-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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