Nicole Phyllis Bermensolo, MA Valid NPI

Individual provider · Group Psychotherapy Psychologist · Los Angeles, CA

NPI

1700525607

Type

Individual (Type 1)

Primary specialty

Group Psychotherapy Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TP2701X

License number

132721 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2022-05-31

Last updated

2022-10-09