SILVER LAKE PSYCHOTHERAPY PC NPI 1922419548

NPI Information

SILVER LAKE PSYCHOTHERAPY PC is a mental health counselor in Los Angeles, CA. SILVER LAKE PSYCHOTHERAPY PC NPI is 1922419548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Silver Lake Psychotherapy.

The provider's business location address is:

1934 HILLHURST AVE
LOS ANGELES, CA
ZIP 90027-712
Phone: (323) 244-2066
Fax: (323) 275-0952

The provider's authorized official is Justin Shubert .
The authorized official title is Psychologist and has the following contact phone number (323) 244-2066.

The enumeration date for this NPI number is 5/16/2014 and was last updated on 12/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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