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Organization
LA PERFORMANCE PSYCHOLOGY
Active
Organization
LA PERFORMANCE PSYCHOLOGY
Active
Other names
Thriving Center of Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS POLSTER PHD (OWNER)
(908) 642-6701
Entity
Organization
Contact information
Practice address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
(310) 955-1352
Mailing address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
11/06/2023
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