Individual
ANNA GRAYCE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15315 MAGNOLIA BLVD STE 400, SHERMAN OAKS, CA 91403-1175
(747) 330-0250
Mailing address
14126 MARQUESAS WAY APT 3524, MARINA DEL REY, CA 90292-7384
(310) 569-6241
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94027319
CA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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