Individual
DR. CECILIA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 217, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 217, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32737
CA
Other
Enumeration date
09/08/2021
Last updated
10/07/2021
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