Individual
DR. GEORGE JACOB LOUGH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12444 VENTURA BLVD STE 206, STUDIO CITY, CA 91604-2409
(818) 980-0606
Mailing address
12444 VENTURA BL., SUITE 206, STUDIO CITY, CA 91604-2409
(818) 980-0606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 5513
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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