Organization
GREENBERG/GORDON, PH.DS., PSYCHOLOGISTS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN MARK GREENBERG PSYCHOLOGIST (PRESIDENT)
(310) 828-1134
Entity
Organization
Contact information
Practice address
1245 16TH ST STE 210, SANTA MONICA, CA 90404-1240
(310) 828-1134
(310) 454-0502
Mailing address
455 W RUSTIC RD, SANTA MONICA, CA 90402-1113
(310) 828-1134
(310) 454-0502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
12/18/2012
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