DIVERGENT SHADES

SOUTH PASADENA, CA
NPI1942005830
Entity TypeOrganization
Authorized ContactTARA FORD LEUFROY
Partner/Owner/Clinical Psychologist
818-369-9060
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies103TB0200X Psychologist, Cognitive & Behavioral
103TC1900X Psychologist, Counseling
103TC2200X Psychologist, Clinical Child & Adolescent
103TS0200X Psychologist, School
1041C0700X Social Worker, Clinical
Enumeration Date2025-02-15
Last Update Date2025-02-15
Business Address
DIVERGENT SHADES
625 FAIR OAKS AVE STE 358
SOUTH PASADENA, CA 91030-5812
Phone number: 626-460-6012
Mailing Address
DIVERGENT SHADES
625 FAIR OAKS AVE STE 358
SOUTH PASADENA, CA 91030-5812
Phone number: 626-460-6012