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Organization
KENT CANDELORA, PHD, A PSYCHOLOGICAL CORPORATION
Active
Organization
KENT CANDELORA, PHD, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT CANDELORA PH.D. (OWNER/PRESIDENT)
(818) 790-0150
Entity
Organization
Contact information
Practice address
1530 E CHEVY CHASE DR, SUITE 103, GLENDALE, CA 91206-4139
(818) 790-0150
Mailing address
1530 E CHEVY CHASE DR, SUITE 103, GLENDALE, CA 91206-4139
(818) 790-0150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5341
CA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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