Individual
MRS. MARISA ROMANO PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP 2872
Contact information
Practice address
12611 SAN VICENTE BLVD # 101, LOS ANGELES, CA 90049-4915
(310) 387-5342
Mailing address
12611 SAN VICENTE BLVD # 101, LOS ANGELES, CA 90049-4915
(310) 387-5342
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2872
CA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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