A Center for Self & Relationship Development, Inc.
Organization Active NPI Clinical Psychologist · Huntington Beach, CA
NPI 1235280751 · NPPES record last updated Aug 4, 2011
Key facts
- NPI
- 1235280751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY21231 (CA)
- Legal business name
- A CENTER FOR SELF & RELATIONSHIP DEVELOPMENT, INC.
- Practice address
- 16052 Beach Blvd
Suite #214
Huntington Beach, CA 92647-3801 - Phone
- (949) 218-8800
- Fax
- (775) 871-9678
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eugenia Liberman Weiss, PSY.D, LCSW
- Title
- Director
- Phone
- (949) 218-8800
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PSY21231 | CA | Yes |
Addresses
Primary practice location
16052 Beach Blvd
Suite #214
Huntington Beach, CA 92647-3801
Mailing address
16052 Beach Blvd
Suite #214
Huntington Beach, CA 92647-3801
Phone (949) 218-8800
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.