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Organization
PSYCHOLOGICAL WELLNESS
Active
Organization
PSYCHOLOGICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN CREDIDIO PH.D. (DIRECTOR)
(310) 376-3388
Entity
Organization
Contact information
Practice address
806 MANHATTAN BEACH BLVD, STE. 207, MANHATTAN BEACH, CA 90266-4935
(310) 376-3388
(310) 372-0198
Mailing address
806 MANHATTAN BEACH BLVD, STE. 207, MANHATTAN BEACH, CA 90266-4935
(310) 376-3388
(310) 372-0198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10441
CA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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