Organization
EB PSYCHOTHERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENI BAGOURDI (CLINICAL DIRECTOR)
(310) 999-9683
Entity
Organization
Contact information
Practice address
2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025-5379
(310) 999-9683
(213) 261-9887
Mailing address
2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025-5379
(310) 999-9683
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22542
CA
Other
Enumeration date
09/22/2009
Last updated
06/01/2021
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