Individual
DR. LAURA BAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-6609
Mailing address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-6609
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
24010
CA
Other
Enumeration date
07/11/2008
Last updated
06/12/2012
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