Organization
JO NEUROASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MI-YEOUNG JO PSYD (PRESIDENT/OWNER)
(818) 647-0105
Entity
Organization
Contact information
Practice address
15335 MORRISON ST STE 205, SHERMAN OAKS, CA 91403
(818) 647-0105
Mailing address
15335 MORRISON ST STE 205, SHERMAN OAKS, CA 91403-1585
(818) 647-0105
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20814
CA
Other
Enumeration date
09/06/2017
Last updated
10/25/2018
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