ELENA BALASHOVA-SHAMIS

MARINA DEL REY, CA
NPI1740705367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY20104)
Enumeration Date2017-08-04
Last Update Date2023-01-12
Business Address
ELENA BALASHOVA-SHAMIS PsyD
4712 ADMIRALTY WAY STE 591
MARINA DEL REY, CA 90292-6905
Phone number: 310-850-1699
Mailing Address
ELENA BALASHOVA-SHAMIS PsyD
PO BOX 12212
MARINA DEL REY, CA 90295-3212
Phone number: 310-486-0404