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Individual

MELODY ESTHER LAVIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
21081 S WESTERN AVE STE 295, TORRANCE, CA 90501-1707
(310) 533-6600
Mailing address
21081 S WESTERN AVE STE 295, TORRANCE, CA 90501-1707
(310) 533-6600

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY29452
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY29452
CA
103TC2200X
Clinical Child & Adolescent Psychologist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/19/2015
Last updated
09/20/2019
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