Healthcare Provider Details

I. General information

NPI: 1427838655
Provider Name (Legal Business Name): THERAPY WHEREVER YOU ARE, A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 DEEP VALLEY DR UNIT 3773
PALOS VERDES PENINSULA CA
90274-3125
US

IV. Provider business mailing address

PO BOX 3773
PALOS VERDES PENINSULA CA
90274-9528
US

V. Phone/Fax

Practice location:
  • Phone: 310-845-6335
  • Fax:
Mailing address:
  • Phone: 484-515-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: RAINA MOOSA
Title or Position: CORPORATION OWNER
Credential: PSYD
Phone: 310-845-6335