Organization
GREENWAY CLINIC OF PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOOKYUNG K. CHANG PHD (CEO)
(323) 851-3200
Entity
Organization
Contact information
Practice address
3322 BARHAM BLVD, LOS ANGELES, CA 90068-1404
(323) 851-3200
(323) 851-3215
Mailing address
PO BOX 55458, SHERMAN OAKS, CA 91413-0458
(323) 851-3200
(323) 851-3215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
01/18/2012
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