Kimberly Tangen Phd, Licensed Psychologist, Inc.
NPI #1457806770 in Marina Del Rey, California
Provider Information
- NPI Number
- 1457806770
- Entity Type
- Organization
- Organization Name
- Kimberly Tangen Phd, Licensed Psychologist, Inc.
- Primary Specialty
- Psychologist
- Enumeration Date
- Aug 16, 2016
- Last Updated
- Dec 2, 2016
Practice Location
- Address
- 4519 ADMIRALTY WAY STE 110
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-5455
- Phone
- (323) 538-4779
Authorized Official
- Name
- DR. KIMBERLY ANNE TANGEN, PHD QME
- Title
- CEO
- Phone
- (323) 538-4779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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