Individual provider · Type 1 NPI
Victor Enosegbe
Health Service Psychologist · Los Angeles, CA
Practice location
3954 Ursula Ave Apt 28
Los Angeles, CA 90008-2124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1750258943
Victor Enosegbe's National Provider Identifier is 1750258943, issued on Oct 21, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 21, 2025.