TANISHA N TATUM

LOS ANGELES, CA
NPI1619504925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  3897)
Additional Taxonomies101Y00000X Counselor
(Licence: CA  3897)
103K00000X Behavior Analyst
103TS0200X Psychologist, School
(Licence: CA  3897)
225400000X Rehabilitation Practitioner
Enumeration Date2020-03-25
Last Update Date2023-06-13
Business Address
TANISHA N TATUM LEP
5777 W CENTURY BLVD # 11102035
LOS ANGELES, CA 90045-5600
Phone number: 424-248-7355
Mailing Address
TANISHA N TATUM LEP
360 N PACIFIC COAST HWY STE 2000
EL SEGUNDO, CA 90245-4532
Phone number: 424-248-7355