Organization
ATOMIC SHRINK PSYCHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA KEIKO MASUDA-STORY PSYD. (CLINICAL PSYCHOLOGIST)
(818) 481-6581
Entity
Organization
Contact information
Practice address
40585 BIG BEAR BLVD, SUITE 2, BIG BEAR LAKE, CA 92315
(909) 255-5351
(800) 976-0803
Mailing address
17328 VENTURA BLVD, SUITE 134, ENCINO, CA 91316-3904
(818) 481-6581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20385
CA
Other
Enumeration date
06/21/2013
Last updated
03/17/2018
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