MEDICARE: MCHUGH PSYCHOLOGICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1972325538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCHUGH PSYCHOLOGICAL GROUP INC

Provider Business Mailing Address
First Line	:	707 TORRANCE BLVD STE 220
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3492
Country	:	US
Telephone Number	:	909-855-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 TORRANCE BLVD STE 220
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3492
Country	:	US
Telephone Number	:	909-855-7755
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JULIA MCHUGH
Credential	:	PSYD
Telephone Number	:	909-855-7755

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	10/25/2024

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