Individual
EVA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16550 VENTURA BLVD STE 405, ENCINO, CA 91436-2084
(510) 334-5185
Mailing address
16550 VENTURA BLVD STE 405, ENCINO, CA 91436-2084
(510) 334-5185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30040
CA
Other
Enumeration date
06/14/2011
Last updated
06/01/2021
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