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Sports Concussion Institute A Psychology Group Inc
Clinical Neuropsychologist in Los Angeles, California
NPI 1194896498

Sports Concussion Institute A Psychology Group Inc is a Clinical Neuropsychologist based in Los Angeles, CA. Sports Concussion Institute A Psychology Group Inc practices in Los Angeles, CA. The NPI Number for Sports Concussion Institute A Psychology Group Inc is 1194896498 and holds a License No. PSY12223 (California).

The current practice location address for Sports Concussion Institute A Psychology Group Inc is 5230 Pacific Concourse Dr, Los Angeles, CA and can be reached out via phone at 310-643-9595 and via fax at 310-643-5180.

Location: 5230 Pacific Concourse Dr, Los Angeles, CA, 90045-6200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194896498
Provider Name
Sports Concussion Institute A Psychology Group Inc
Credential
Provider Entity Type
Organization
Address
5230 Pacific Concourse Dr, Los Angeles, CA, 90045-6200
Phone Number
310-643-9595
Fax Number
310-643-5180
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ50434Y 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5230 Pacific Concourse Dr
City
Los Angeles
State
California
Zip
90045-6200
Phone Number
310-643-9595
Fax Number
310-643-5180
person
Provider Business Mailing Address Details
Address
5230 Pacific Concourse Dr
City
Los Angeles
State
California
Zip
90045-6200
Phone Number
310-643-9595
Fax Number
310-643-5180
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY12223 (California)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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