Individual
DR. CECILY KABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
152 S SWALL DR, BEVERLY HILLS, CA 90211-2611
(310) 957-9248
Mailing address
152 S SWALL DR, BEVERLY HILLS, CA 90211-2611
(310) 957-9248
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30477
CA
Other
Enumeration date
08/07/2015
Last updated
06/12/2020
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