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Organization

ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LEE ROSENBLATT PSYD (OWNER)
(310) 502-1162
Entity
Organization

Contact information

Practice address
12405 VENICE BLVD, 124, LOS ANGELES, CA 90066-3803
(310) 502-1162
(866) 485-1162
Mailing address
12405 VENICE BLVD, 124, LOS ANGELES, CA 90066-3803
(310) 502-1162
(866) 485-1162

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21110
CA

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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