Healthcare Provider Details

I. General information

NPI: 1568146801
Provider Name (Legal Business Name): KATIE ARFA PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 W OLYMPIC BLVD STE 460
LOS ANGELES CA
90064-1562
US

IV. Provider business mailing address

1014 BROADWAY PMB 504
SANTA MONICA CA
90401
US

V. Phone/Fax

Practice location:
  • Phone: 424-363-6639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATIE ARFA
Title or Position: OWNER
Credential: PSYD
Phone: 424-363-6639