Organization
JANIS V GOLDMAN, PH.D, PSY.D., A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS V GOLDMAN PH.D., PSY.D. (PRESIDENT)
(310) 820-7151
Entity
Organization
Contact information
Practice address
12301 WILSHIRE BLVD, SUITE 310, LOS ANGELES, CA 90025-1007
(310) 820-7151
(310) 820-3396
Mailing address
12301 WILSHIRE BLVD, SUITE 310, LOS ANGELES, CA 90025-1007
(310) 820-7151
(310) 820-3396
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 13191
CA
103TC0700X
Clinical Psychologist
PSY 13191
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 13191
CA
103TF0000X
Family Psychologist
PSY 13191
CA
103TP0814X
Psychoanalysis Psychologist
Primary
PSY 13191
CA
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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