Organization
CARNELIAN PSYCHOLOGICAL AND EDUCATIONAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYRE FRIBOURG PHD (OWNER)
(818) 666-9434
Entity
Organization
Contact information
Practice address
12522 MOORPARK ST # 108, STUDIO CITY, CA 91604-1355
(818) 666-9434
Mailing address
12522 MOORPARK ST # 107, STUDIO CITY, CA 91604-1355
(818) 666-9434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
02/21/2024
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