Individual
DR. DEBRA BERRY MALMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
732 MOTT ST STE 100, SAN FERNANDO, CA 91340-4240
(818) 963-5690
Mailing address
4307 BEL AIRE DR, LA CANADA FLINTRIDGE, CA 91011-3308
(310) 967-9240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23475
CA
103TC2200X
Clinical Child & Adolescent Psychologist
23475
CA
Other
Enumeration date
02/29/2024
Last updated
03/01/2024
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