Organization
BOSTON CHILD STUDY CENTER LOS ANGELES LICENSED CLINICAL SOCIAL WORK SE
Active
Other names
Boston Child Study Center Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J MADIGAN PSY.D. (FOUNDER & DIRECTOR)
(617) 299-0228
Entity
Organization
Contact information
Practice address
11400 W OLYMPIC BLVD STE 200, LOS ANGELES, CA 90064-1584
(888) 225-1995
Mailing address
729 BOYLSTON ST FL 5, BOSTON, MA 02116-2639
(617) 299-0228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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