Organization
LAUREN D. COSTINE, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN COSTINE (OWNER)
(310) 399-9006
Entity
Organization
Contact information
Practice address
21243 VENTURA BLVD STE 118, WOODLAND HILLS, CA 91364-2162
(310) 399-9006
(818) 888-7218
Mailing address
21243 VENTURA BLVD STE 118, WOODLAND HILLS, CA 91364-2162
(310) 399-9006
(818) 888-7218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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