Organization
COAST FAMILY PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA E LIEBERMAN PSYD (FOUNDER)
(805) 507-7049
Entity
Organization
Contact information
Practice address
12304 SANTA MONICA BLVD STE 203, LOS ANGELES, CA 90025-2551
(805) 507-7049
(805) 257-0517
Mailing address
12304 SANTA MONICA BLVD STE 203, LOS ANGELES, CA 90025-2551
(805) 507-7049
(805) 257-0517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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