Provider Demographics
NPI:1427838655
Name:THERAPY WHEREVER YOU ARE, A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:THERAPY WHEREVER YOU ARE, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOOSA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-845-6335
Mailing Address - Street 1:PO BOX 3773
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-9528
Mailing Address - Country:US
Mailing Address - Phone:484-515-1743
Mailing Address - Fax:
Practice Address - Street 1:955 DEEP VALLEY DR UNIT 3773
Practice Address - Street 2:
Practice Address - City:PALOS VERDES PENINSULA
Practice Address - State:CA
Practice Address - Zip Code:90274-3125
Practice Address - Country:US
Practice Address - Phone:310-845-6335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty