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1740705367
ELENA BALASHOVA-SHAMIS
MARINA DEL REY, CA
NPI
1740705367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20104)
Enumeration Date
2017-08-04
Last Update Date
2023-01-12
Business Address
ELENA BALASHOVA-SHAMIS PsyD
4712 ADMIRALTY WAY STE 591
MARINA DEL REY, CA 90292-6905
Phone number: 310-850-1699
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Mailing Address
ELENA BALASHOVA-SHAMIS PsyD
PO BOX 12212
MARINA DEL REY, CA 90295-3212
Phone number: 310-486-0404
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