Individual
EVA K BOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14610 ADDISON ST, SHERMAN OAKS, CA 91403-1709
(310) 475-7378
Mailing address
14610 ADDISON ST, SHERMAN OAKS, CA 91403-1709
(310) 475-7378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12574
CA
Other
Enumeration date
01/06/2007
Last updated
02/05/2010
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