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Organization
NEURO-REHAB CONSULTATION & TREATMENT SERVICES
Active
Organization
NEURO-REHAB CONSULTATION & TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA MIKAEL PSYD (PSYCHOLOGIST)
(626) 710-7838
Entity
Organization
Contact information
Practice address
630 S RAYMOND AVE, #340, PASADENA, CA 91105-3278
(626) 710-7838
(626) 270-4234
Mailing address
995 E GREEN ST, #422, PASADENA, CA 91106-2410
(626) 710-7838
(626) 270-4234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25089
CA
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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