Organization
GERIATRIC EVALUATION & NEUROPSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENA AVITAL KRAVITZ PSY.D (PRESIDENT)
(818) 314-8088
Entity
Organization
Contact information
Practice address
15235 BURBANK BLVD, A4, VAN NUYS, CA 91411-3500
(818) 314-8088
(818) 708-8498
Mailing address
18375 VENTURA BLVD, 578, TARZANA, CA 91356-4218
(818) 314-8088
(818) 708-8498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21989
CA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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