Organization
MAX MAISEL PHD, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX EMANUEL MAISEL PHD (CLINICAL PSYCHOLOGIST)
(213) 218-3080
Entity
Organization
Contact information
Practice address
14011 VENTURA BLVD STE 203A, SHERMAN OAKS, CA 91423-5273
(213) 218-3080
Mailing address
PO BOX 1625, STUDIO CITY, CA 91614-0625
(858) 449-9915
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
06/19/2020
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