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Organization
SUZANNE M WALLACH PSYCHOTHERAPY, INC
Active
Organization
SUZANNE M WALLACH PSYCHOTHERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE MARIE WALLACH PSYD., LMFT (CEO/OWNER)
(310) 927-4307
Entity
Organization
Contact information
Practice address
450 N BEDFORD DR STE 304, BEVERLY HILLS, CA 90210-4307
(310) 927-4307
Mailing address
450 N BEDFORD DR STE 304, BEVERLY HILLS, CA 90210-4307
(310) 927-4307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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