Organization
GROW TRUE PSYCHOLOGY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA OTHENE MUNSON PHD (OWNER/PRESIDENT)
(805) 601-6055
Entity
Organization
Contact information
Practice address
11990 SAN VICENTE BLVD STE 250, LOS ANGELES, CA 90049-6608
(805) 601-6055
Mailing address
11990 SAN VICENTE BLVD STE 250, LOS ANGELES, CA 90049-6608
(805) 601-6055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
04/21/2023
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