Individual
LISEL STORCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
21241 VENTURA BLVD, SUITE 187, WOODLAND HILLS, CA 91364-2108
(805) 551-3408
Mailing address
21241 VENTURA BLVD, SUITE 187, WOODLAND HILLS, CA 91364
(805) 551-3408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP 2847
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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