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Organization
PRACTICAL PSYCHOLOGY
Active
Organization
PRACTICAL PSYCHOLOGY
Active
Other names
Evan Landrum, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN D LANDRUM PSY.D (OWNER)
(626) 808-7152
Entity
Organization
Contact information
Practice address
1755 HUNTINGTON DR, #104, DUARTE, CA 91010-2567
(626) 808-7152
(888) 898-4591
Mailing address
2629 CALLE MARTOS, DUARTE, CA 91010-2251
(626) 808-7152
(888) 898-4591
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY19391
CA
103T00000X
Psychologist
PSY19391
CA
103TA0700X
Adult Development & Aging Psychologist
PSY19391
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY19391
CA
103TC0700X
Clinical Psychologist
Primary
PSY19391
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY19391
CA
Other
Enumeration date
05/16/2007
Last updated
03/17/2014
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