Organization
DR. GABRIELLE DU VERGLAS, PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELLE DU VERGLAS PH.D. (CLINICAL PSYCHOLOGIST)
(310) 820-4928
Entity
Organization
Contact information
Practice address
1247 7TH ST STE 202, SANTA MONICA, CA 90401-1643
(310) 820-4928
Mailing address
11693 SAN VICENTE BLVD # 412, LOS ANGELES, CA 90049-5105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13096
CA
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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