Provider Demographics
NPI:1508463043
Name:AFFORDABLE PSYCHOLOGICAL SERVICES, PROFESSIONAL CORP.
Entity Type:Organization
Organization Name:AFFORDABLE PSYCHOLOGICAL SERVICES, PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DARSA
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:310-713-6739
Mailing Address - Street 1:881 ALMA REAL DR STE 311
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-5047
Mailing Address - Country:US
Mailing Address - Phone:310-713-6739
Mailing Address - Fax:424-268-7136
Practice Address - Street 1:881 ALMA REAL DR STE 311
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-5047
Practice Address - Country:US
Practice Address - Phone:310-713-6739
Practice Address - Fax:424-268-7136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health