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Organization

GOUDSMIT PSYCHOLOGY, PLLC

Active
Other names
Nora Goudsmit, Ph.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORA GOUDSMIT PH.D. (CLINICAL PSYCHOLOGIST)
(323) 852-3171
Entity
Organization

Contact information

Practice address
640 S SAN VICENTE BLVD STE 476, LOS ANGELES, CA 90048-4661
(323) 852-3171
Mailing address
640 S SAN VICENTE BLVD STE 476, LOS ANGELES, CA 90048-4661
(323) 852-3171

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
019531
NY
103G00000X
Clinical Neuropsychologist
Primary
28867
CA
103TC0700X
Clinical Psychologist
019531
NY

Other

Enumeration date
06/30/2013
Last updated
01/01/2018
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