Organization
EFT RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C BLUM PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(323) 633-6138
Entity
Organization
Contact information
Practice address
95 N MARENGO AVE STE 200, PASADENA, CA 91101-1746
(323) 633-6138
(626) 316-6650
Mailing address
95 N MARENGO AVE STE 200, PASADENA, CA 91101-1746
(323) 633-6138
(626) 316-6650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 19790
CA
106H00000X
Marriage & Family Therapist
MFC86294
CA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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