Organization
LINA SUCHOV A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA SUCHOV PHD (OWNER)
(818) 385-0336
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE LLE 30, ENCINO, CA 91436-2203
(818) 385-0336
(818) 385-1310
Mailing address
16260 VENTURA BLVD, SUITE LLE 30, ENCINO, CA 92590-4927
(818) 385-0336
(818) 385-1310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 14451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14451
PSY
CA
Enumeration date
12/20/2013
Last updated
12/20/2013
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