Provider Demographics
NPI:1295871663
Name:PSYCHOLOGICAL TREATMENT SERVICES INC
Entity type:Organization
Organization Name:PSYCHOLOGICAL TREATMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:WASSERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-718-9705
Mailing Address - Street 1:19543 MAYALL ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1015
Mailing Address - Country:US
Mailing Address - Phone:818-718-9705
Mailing Address - Fax:818-718-2276
Practice Address - Street 1:19543 MAYALL ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-1015
Practice Address - Country:US
Practice Address - Phone:818-718-9705
Practice Address - Fax:818-718-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty