Provider Demographics
NPI:1487294021
Name:INTROSPECTION BEVERLY HILLS A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:INTROSPECTION BEVERLY HILLS A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALALEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SELKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:424-421-4514
Mailing Address - Street 1:9440 SANTA MONICA BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4614
Mailing Address - Country:US
Mailing Address - Phone:424-421-4514
Mailing Address - Fax:
Practice Address - Street 1:9440 SANTA MONICA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4614
Practice Address - Country:US
Practice Address - Phone:424-421-4514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health