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Individual

JOSHUA LAWRENCE MIRMELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
11340 W OLYMPIC BLVD STE 305, LOS ANGELES, CA 90064-1630
(305) 333-9778
Mailing address
324 N PALM DR UNIT 305, BEVERLY HILLS, CA 90210-4189
(305) 333-9778

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31895
CA

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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