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1124678719
PACIFIC BLUE PSYCHOLOGICAL SERVICES
SHERMAN OAKS, CA
NPI
1124678719
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Entity Type
Organization
Authorized Contact
JOHN CARROLL
Owner
858-883-3277
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-09-16
Last Update Date
2020-10-09
Business Address
PACIFIC BLUE PSYCHOLOGICAL SERVICES
15235 BURBANK BLVD STE A2
SHERMAN OAKS, CA 91411-3555
Phone number: 858-883-3277
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Mailing Address
PACIFIC BLUE PSYCHOLOGICAL SERVICES
PO BOX 1290
VENICE, CA 90294-1290
Phone number:
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