Individual
BEVERLY IBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
(855) 446-4374
Mailing address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY35532
CA
103TC0700X
Clinical Psychologist
Primary
PSY35532
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2016
Last updated
05/05/2025
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