Individual
CHELSEA O'HAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, MS #53, LOS ANGELES, CA 90027
(323) 361-3814
Mailing address
3856 PACES LOOKOUT DR SE, ATLANTA, GA 30339-4265
(678) 662-7992
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY28548
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/19/2014
Last updated
01/11/2017
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