| NPI | 1366962581 |
|---|---|
| Doing Business As | PBA PSYCHOLOGY GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | PAULA E BRUCE CEO 310-271-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-10-15 |