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Organization

BORROWED STAR PSYCHOLOGY GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ARIZPE PSYD (DIRECTOR)
(310) 902-6089
Entity
Organization

Contact information

Practice address
1294 W 6TH ST, SUITE 105, SAN PEDRO, CA 90731-2987
(310) 902-6089
(310) 988-2883
Mailing address
1294 W 6TH ST, SUITE 105, SAN PEDRO, CA 90731-2987
(310) 902-6089
(310) 988-2883

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17402
CA

Other

Enumeration date
05/09/2007
Last updated
01/21/2009
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