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Organization
MARINA PSYCHOLOGICAL SERVICES
Active
Organization
MARINA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART M SHAFFER PH.D. (CEO)
(310) 822-0109
Entity
Organization
Contact information
Practice address
4640 ADMIRALTY WAY, SUITE 318, MARINA DEL REY, CA 90292-6621
(310) 822-0109
(310) 822-1240
Mailing address
4640 ADMIRALTY WAY, SUITE 318, MARINA DEL REY, CA 90292-6621
(310) 822-0109
(310) 822-1240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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