Individual
MATHYLDA LIVIERATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
Mailing address
906 VICTORIA AVE, VENICE, CA 90291-3934
(917) 510-7178
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
CA
Other
Enumeration date
08/19/2024
Last updated
09/09/2024
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