Provider Demographics
NPI:1548049588
Name:NECTAR REDMAN PSY.D., A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:NECTAR REDMAN PSY.D., A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NECTAR
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:REDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-773-1919
Mailing Address - Street 1:11022 SANTA MONICA BLVD STE 370
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7532
Mailing Address - Country:US
Mailing Address - Phone:310-710-7503
Mailing Address - Fax:
Practice Address - Street 1:11022 SANTA MONICA BLVD STE 370
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7532
Practice Address - Country:US
Practice Address - Phone:310-773-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty