Organization
LINA SUCHOV A PROFESSIONALPSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA B SUCHOV PH.D. (PSYCHOLOGIST)
(818) 385-0336
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD STE LL30, ENCINO, CA 91436-4927
(818) 385-0336
(818) 385-1310
Mailing address
16260 VENTURA BLVD STE LL30, ENCINO, CA 91436-4927
(818) 385-0336
(818) 385-1310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14451
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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