Marina Psychological Services
NPI #1912043233 in Marina Del Rey, California
Provider Information
- NPI Number
- 1912043233
- Entity Type
- Organization
- Organization Name
- Marina Psychological Services
- Primary Specialty
- Psychologist
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4640 ADMIRALTY WAY
- Address 2
- SUITE 318
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6621
- Phone
- (310) 822-0109
Authorized Official
- Name
- STUART M SHAFFER, PH.D.
- Title
- CEO
- Phone
- (310) 822-0109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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