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Individual

DR. GENINE IVY HANIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
3625 E THOUSAND OAKS BLVD, 120, WESTLAKE VILLAGE, CA 91362-3626
(805) 497-6137
Mailing address
3625 E THOUSAND OAKS BLVD STE 236, WESTLAKE VILLAGE, CA 91362-3571
(805) 497-6137

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13568
CA

Other

Enumeration date
03/12/2007
Last updated
05/29/2021
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