Individual
DR. ELLEN BASIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10780 SANTA MONICA BLVD, STE 250, LOS ANGELES, CA 90025-4777
(310) 262-4026
(310) 475-0106
Mailing address
10780 SANTA MONICA BLVD, STE 250, LOS ANGELES, CA 90025-4777
(310) 262-4026
(310) 475-0106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14499
CA
Other
Enumeration date
07/17/2007
Last updated
01/05/2017
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