Individual
MOLLY CEVASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
4650 W SUNSET BLVD, MS #53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
4650 W SUNSET BLVD, MS #53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY60876051
WA
Other
Enumeration date
02/24/2015
Last updated
09/24/2018
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