Healthcare Provider Details
I. General information
NPI: 1356566509
Provider Name (Legal Business Name): WESTWOOD-HOLLYWOOD PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 FAIRBURN AVE STE 200
LOS ANGELES CA
90025-4968
US
IV. Provider business mailing address
1800 FAIRBURN AVE STE 200
LOS ANGELES CA
90025-4968
US
V. Phone/Fax
- Phone: 310-208-7274
- Fax: 323-874-3046
- Phone: 310-208-7274
- Fax: 323-874-3046
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 102L00000X |
| Taxonomy | Psychoanalyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TERRENCE
JAMES
MCBRIDE
Title or Position: VICE PRESIDENT
Credential: M.S.W., PSY.D.
Phone: 310-208-7274