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General NPI Number Information
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NPI Number | 1750239281
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Entity Type | Organization
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Legal Business Name | EATING DISORDER THERAPY LA, A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 4929 WILSHIRE BLVD STE 1000
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City | LOS ANGELES
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State | CA
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Zip | 90010-3825
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Country | US
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Telephone | 323-743-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 4929 WILSHIRE BLVD STE 1000
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City | LOS ANGELES
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State | CA
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Zip | 90010-3825
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Country | US
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Telephone | 323-743-1122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN MUHLHEIM
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Credential | PSY.D.
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Telephone | 323-743-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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