Provider Demographics
NPI:1346855244
Name:SORENSON PSYCHOLOGICAL AND ASSESSMENT SERVICES
Entity Type:Organization
Organization Name:SORENSON PSYCHOLOGICAL AND ASSESSMENT SERVICES
Other - Org Name:L.A. PSYCHOLOGICAL ASSESSMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SORENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:323-375-5272
Mailing Address - Street 1:12301 WILSHIRE BLVD STE 413
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1051
Mailing Address - Country:US
Mailing Address - Phone:323-375-5272
Mailing Address - Fax:
Practice Address - Street 1:12301 WILSHIRE BLVD STE 413
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1051
Practice Address - Country:US
Practice Address - Phone:323-375-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty