Individual
FROMA BURACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12304 SANTA MONICA BLVD STE 209, LOS ANGELES, CA 90025-2587
(310) 990-2199
Mailing address
824 RADCLIFFE AVE, PACIFIC PALISADES, CA 90272-3510
(310) 990-2199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13851
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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