Organization
GENESIS PSYCHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P. BOEHM PH.D. (OWNER)
(310) 837-2444
Entity
Organization
Contact information
Practice address
3611 MOTOR AVE., SUITE 240, LOS ANGELES, CA 90034
(310) 837-2444
Mailing address
3611 MOTOR AVE., SUITE 240, LOS ANGELES, CA 90034
(310) 837-2444
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
C2894551
CA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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