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Organization
SACHA BOLLAS PSYD, INC.
Active
Organization
SACHA BOLLAS PSYD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACHA BOLLAS PSYD (CLINICAL PSYCHOLOGIST)
(310) 741-7408
Entity
Organization
Contact information
Practice address
1990 S BUNDY DR STE 320, LOS ANGELES, CA 90025-5249
(310) 741-7408
Mailing address
3786 BEETHOVEN ST, LOS ANGELES, CA 90066-3536
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/27/2020
Last updated
03/27/2020
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