Individual
DR. ELISA DORI REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11965 VENICE BLVD, SUITE 202, LOS ANGELES, CA 90066-3979
(888) 724-0040
Mailing address
11965 VENICE BLVD, SUITE 202, LOS ANGELES, CA 90066-3979
(888) 724-0040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26123
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2010
Last updated
01/31/2014
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