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Organization

CALIFORNIA NEUROPSYCHOLOGY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THERESE MORIARTY PSYD (NEUROPSYCHOLOGIST)
(323) 702-0735
Entity
Organization

Contact information

Practice address
11030 SANTA MONICA BLVD STE 302, LOS ANGELES, CA 90025-7590
(323) 702-0735
Mailing address
11030 SANTA MONICA BLVD STE 302, LOS ANGELES, CA 90025-7590

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0200X
Forensic Psychologist
Primary
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Enumeration date
08/14/2026
Last updated
08/14/2026
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