Organization
LC AMICK PHD A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETICIA C AMICK PHD (PRESIDENT)
(818) 480-6517
Entity
Organization
Contact information
Practice address
401 N BRAND BLVD, SUITE 346, GLENDALE, CA 91203-4427
(818) 480-6517
Mailing address
121 W LEXINGTON DR, SUITE 346, GLENDALE, CA 91203-2203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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