Individual
DR. BENJAMIN MICHAEL LASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15216 VANOWEN ST, #2C, VAN NUYS, CA 91405-3601
(818) 785-6377
(818) 785-6358
Mailing address
12160 MONTANA AVE, #8, LOS ANGELES, CA 90049-5271
(805) 689-6352
(818) 785-6358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 19363
CA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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