Provider Demographics
NPI:1619271988
Name:PECHTER, EVELYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:PECHTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 409
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3521
Mailing Address - Country:US
Mailing Address - Phone:310-622-5741
Mailing Address - Fax:310-765-6342
Practice Address - Street 1:520 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 409
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3521
Practice Address - Country:US
Practice Address - Phone:310-622-5741
Practice Address - Fax:310-765-6342
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21132103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist