Individual
DR. GINA EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3756 SANTA ROSALIA DR STE 628, LOS ANGELES, CA 90008-3606
(323) 293-8771
(323) 293-8771
Mailing address
PO BOX 78844, LOS ANGELES, CA 90016-0844
(805) 267-6253
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
06/04/2012
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