| Organization Name: | PRO PSYCH SERVICES INC |
| NPI Number: | 1043224959 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD LOUIS KAUFMAN (CEO) |
| Mailing Address: | 13263 Ventura Blvd Ste 2 Studio City |
| State: | CA US |
| Postal Code: | 916041839 |
| Phone Number: | 8185016090 |
| Fax Number: | 8185016095 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |