Slo Psychological Services

NPI #1306630587 in Pismo Beach, California

Provider Information

NPI Number: 1306630587
Entity Type: Organization
Organization Name: Slo Psychological Services
Primary Specialty: Psychologist
Enumeration Date: Apr 4, 2025
Last Updated: Apr 4, 2025

Practice Location

Address: 901 OAK PARK BLVD STE 202
City: Pismo Beach
State: California
ZIP Code: 93449-3410
Phone: (805) 316-1410

Authorized Official

Name: MS. MIRIAM BURLAKOVSKY, LEP#4368, BCBA
Title: CEO
Phone: (805) 316-1410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist	103T00000X	Primary

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