Organization
GERIATRIC PSYCHOLOGICAL SERVICES MTCA CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA F WILLIAMS PSY.D. (PRESIDENT)
(310) 923-1518
Entity
Organization
Contact information
Practice address
5601 OSTROM AVE, ENCINO, CA 91316-1405
(310) 923-1518
Mailing address
5601 OSTROM AVE, ENCINO, CA 91316-1405
(310) 923-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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