Individual
ALAN SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11980 SAN VICENTE BLVD, STE 712, LOS ANGELES, CA 90049-5012
(310) 826-1494
Mailing address
11980 SAN VICENTE BLVD, STE 712, LOS ANGELES, CA 90049-5012
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY2875
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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