Individual
DR. CONSTANDINA PALIVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-5257
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25179
CA
Other
Enumeration date
11/01/2010
Last updated
10/08/2012
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