Organization
ACT5 COMMUNITY LIAISON CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALINA NOELLE PSYD (PSYCHOLOGIST)
(424) 262-7775
Entity
Organization
Contact information
Practice address
955 DEEP VALLEY DR, STE 2411, PALOS VERDES PEN, CA 90274
(424) 262-7775
Mailing address
955 DEEP VALLEY DR, STE 2411, PALOS VERDES PEN, CA 90274
(424) 262-7775
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/22/2024
Last updated
04/06/2024
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