Organization
LEARNING DYNAMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN PSY.D. (EXECUTIVE DIRECTOR)
(310) 855-3276
Entity
Organization
Contact information
Practice address
22837 VENTURA BLVD, WOODLAND HILLS, CA 91364-1224
(310) 855-3276
(310) 393-9893
Mailing address
22837 VENTURA BLVD, SUITE 200, WOODLAND HILLS, CA 91364-1224
(310) 855-3276
(310) 393-9893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA178403
MEDICARE PTAN
CA
01
—
GX727A
MEDICARE PTAN
CA
Enumeration date
12/28/2012
Last updated
10/21/2024
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