ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC

NORTHRIDGE, CA
NPI1104920230
Entity TypeOrganization
Authorized ContactALTA-GRACE L TAN
Owner
818-523-1809
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY18653)
Enumeration Date2006-09-11
Last Update Date2010-05-28
Business Address
ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC
18546 ROSCOE BLVD STE 210
NORTHRIDGE, CA 91324-5454
Phone number: 818-886-5628
Mailing Address
ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC
18546 ROSCOE BLVD STE 210
NORTHRIDGE, CA 91324-5454
Phone number: 818-886-5628
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