Individual
DR. ANASTASIA LARA MCGLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11870 SANTA MONICA BLVD STE 106504, LOS ANGELES, CA 90025-2276
(310) 876-2619
Mailing address
11870 SANTA MONICA BLVD STE 106504, LOS ANGELES, CA 90025-2276
(310) 876-2619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33611
CA
Other
Enumeration date
09/12/2017
Last updated
10/03/2022
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