Provider Demographics
NPI:1174040125
Name:WEISSBERGER, GALI HELENA (PHD)
Entity Type:Individual
Prefix:
First Name:GALI
Middle Name:HELENA
Last Name:WEISSBERGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15133 DICKENS ST APT D
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3319
Mailing Address - Country:US
Mailing Address - Phone:818-825-5852
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE UNIT 22
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8847
Practice Address - Country:US
Practice Address - Phone:818-825-5852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY29245103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist