Organization
MICHELLE GLANTZ, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE GLANTZ PHD (CLINICAL PSYCHOLOGIST)
(917) 655-2363
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD STE 711, LOS ANGELES, CA 90049-6605
(917) 655-2363
Mailing address
13450 BAYLISS RD, LOS ANGELES, CA 90049-1833
(917) 655-2363
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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