Organization
NEURO HEALTH, INC
Active
Organization
NEURO HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATY D GAINES PHD (CEO)
(323) 456-8686
Entity
Organization
Contact information
Practice address
8383 WILSHIRE BLVD, SUITE #800, BEVERLY HILLS, CA 90211-2425
(323) 456-8686
Mailing address
1454 S CREST DR, LOS ANGELES, CA 90035-3312
(310) 490-9899
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY26943
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY26943
CA
103TC0700X
Clinical Psychologist
PSY26943
CA
103TF0200X
Forensic Psychologist
PSY26943
CA
Other
Enumeration date
05/12/2015
Last updated
11/20/2018
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