Elena Balashova-Shamis, PSYD Valid NPI

Individual provider · Clinical Psychologist · Marina Del Rey, CA

NPI

1740705367

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY20104 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-08-04

Last updated

2023-01-12