| NPI | 1194343400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA L MANGASSARIAN Clinical Neuropsychologist 818-588-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-01-11 |