Individual
MICHELLE MARIE SOOHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD # 114, LOS ANGELES, CA 90027-6062
(323) 361-8450
Mailing address
4650 SUNSET BLVD, MS #114, LOS ANGELES, CA 90027
(323) 361-8450
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
32418
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2017
Last updated
09/16/2021
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