Organization
PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC
Active
Parent organization
PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC
Other names
Sharp Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC
Authorized official
DR. LEA CHANKIN PSY.D. (DIRECTOR)
(213) 738-8853
Entity
Organization
Contact information
Practice address
616 SHATTO PL, LOS ANGELES, CA 90005-1301
(213) 738-8853
(213) 738-5368
Mailing address
616 SHATTO PL, LOS ANGELES, CA 90005-1301
(213) 738-8853
(213) 738-5368
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
CA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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