Organization
KRAVITZ PSYCHOLOGICAL, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DO (CREDENTIALING MANAGER)
(714) 888-4629
Entity
Organization
Contact information
Practice address
4764 PARK GRANADA STE 101, CALABASAS, CA 91302-3326
(818) 804-8492
(310) 756-1225
Mailing address
22647 VENTURA BLVD STE 851, WOODLAND HILLS, CA 91364-1416
(818) 804-8492
(310) 756-1225
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
03/14/2025
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