Organization
BLAIR WELLNESS GROUP A PROFESSIONAL PSYCHOLOGICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIBY F BLAIR PSYD (OWNER)
(310) 866-6414
Entity
Organization
Contact information
Practice address
9454 WILSHIRE BLVD PH6, BEVERLY HILLS, CA 90212-2937
(310) 866-6414
Mailing address
12021 WILSHIRE BLVD # 430, LOS ANGELES, CA 90025-1206
(310) 866-6414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
03/03/2017
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