Individual
GENEVIEVE LAM SKALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS #53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
4650 W SUNSET BLVD, MS #53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30303
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2015
Last updated
09/24/2019
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