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Organization

MICHELLE CONOVER PHD A PSYCHOLOGICAL CORPORATION

Active
Other names
Southern California Neuropsychology Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE CONOVER PH.D. (CHIEF EXECUTIVE OFFICER)
(818) 340-7700
Entity
Organization

Contact information

Practice address
5950 CANOGA AVE STE 100, WOODLAND HILLS, CA 91367-5052
(818) 340-7700
(818) 340-7701
Mailing address
5950 CANOGA AVE STE 100, WOODLAND HILLS, CA 91367-5052
(818) 340-7700
(818) 340-7701

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21871
CA

Other

Enumeration date
12/12/2011
Last updated
05/09/2024
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