Organization
CENTURY PSYCHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DANESHRAD PSY.D. (LICENSED PSYCHOLOGIST)
(818) 633-9167
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR STE 208, BEVERLY HILLS, CA 90210-4317
(213) 342-1026
Mailing address
416 N BEDFORD DR STE 208, BEVERLY HILLS, CA 90210-4317
(213) 342-1026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
10/17/2024
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