Provider First Line Business Practice Location Address:
UCLA PSYCHOLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
502 PORTOLA PLAZA
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-206-5363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2013