Individual
JESSICA LASATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Mailing address
18646 OXNARD STREET, TARZANA, CA 91356
(888) 777-8565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
10/17/2025
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