Individual
MS. ELENA KONSTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4929 WILSHIRE BLVD STE 413, LOS ANGELES, CA 90010-3816
(323) 651-2194
(323) 651-2094
Mailing address
4929 WILSHIRE BLVD STE 413, LOS ANGELES, CA 90010-3816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 11472
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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