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Organization
PSYCH LAB PSYCHOLOGY, INC.
Active
Organization
PSYCH LAB PSYCHOLOGY, INC.
Active
Other names
Psych Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GODOT PSYD (CEO)
(562) 684-1305
Entity
Organization
Contact information
Practice address
3950 LONG BEACH BLVD STE 101, LONG BEACH, CA 90807-5410
(562) 684-1300
(562) 684-1301
Mailing address
5150 E PACIFIC COAST HWY STE 200, LONG BEACH, CA 90804-3399
(323) 942-9668
(323) 400-4182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
08/13/2024
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