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Organization
SOUTH BAY CHILD AND FAMILY THERAPY, INC.
Active
Organization
SOUTH BAY CHILD AND FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRZAD M GITI PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(424) 888-4484
Entity
Organization
Contact information
Practice address
1601 PACIFIC COAST HWY STE 290, HERMOSA BEACH, CA 90254-3283
(424) 888-4484
Mailing address
1601 PACIFIC COAST HWY STE 290, HERMOSA BEACH, CA 90254-3283
(424) 888-4484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26369
CA
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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