Individual
DR. MANTSHA BOIKANYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025-5379
(424) 781-7650
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY29845
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
103TS0200X
School Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/28/2008
Last updated
09/12/2019
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