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Organization
SANTA MONICA THERAPY, A PSYCHOLOGY CORPORATION
Active
Organization
SANTA MONICA THERAPY, A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WONG PH.D. (OWNER)
(310) 845-6720
Entity
Organization
Contact information
Practice address
3301 OCEAN PARK BLVD STE 210, SANTA MONICA, CA 90405-3230
(310) 845-6720
Mailing address
3301 OCEAN PARK BLVD STE 210, SANTA MONICA, CA 90405-3230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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