Organization
BEACH PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARREN PSYD (PSYCHOLOGIST)
(310) 947-9279
Entity
Organization
Contact information
Practice address
2447 PACIFIC COAST HWY STE 213, HERMOSA BEACH, CA 90254-2714
(310) 947-9279
Mailing address
2447 PACIFIC COAST HWY STE 213, HERMOSA BEACH, CA 90254-2714
(310) 947-9279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27851
CA
Other
Enumeration date
12/16/2015
Last updated
05/10/2018
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