Individual
DR. MICAH JAMES ORLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4650 W SUNSET BLVD, MAILSTOP #53, LOS ANGELES, CA 90027-6062
(323) 361-8321
Mailing address
4650 W SUNSET BLVD, MAILSTOP #53, LOS ANGELES, CA 90027-6062
(323) 361-8321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY21027
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY21027
CA
Other
Enumeration date
01/16/2007
Last updated
06/29/2016
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