Organization
NORTH EAST LOS ANGELES PSYCHOLOGY
Active
Other names
NELA Psych
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAIN MILLER PSYD (PRESIDENT)
(310) 571-8616
Entity
Organization
Contact information
Practice address
380 S LAKE AVE STE 205, PASADENA, CA 91101-5063
(310) 571-8616
Mailing address
12360 RIVERSIDE DR APT 340, VALLEY VILLAGE, CA 91607-3660
(310) 314-0603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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