Individual
BETH C EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23043 BURTON ST, WEST HILLS, CA 91304-3509
(818) 704-1007
Mailing address
23043 BURTON ST, WEST HILLS, CA 91304-3509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25947
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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