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Organization

UCLA PSYCHOLOGY CLINIC

Active
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Organization

UCLA PSYCHOLOGY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL WATERMAN PH.D. (CLINIC COORDINATOR)
(310) 825-2305
Entity
Organization

Contact information

Practice address
UCLA PSYCHOLOGY CLINIC, 2191 FRANZ HALL BOX 951563, LOS ANGELES, CA 90095-1563
(310) 825-2305
(310) 825-2306
Mailing address
UCLA PSYCHOLOGY CLINIC, 2191 FRANZ HALL BOX 951563, LOS ANGELES, CA 90095-1563
(310) 825-2305
(310) 825-2306

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 6144
CA

Other

Enumeration date
02/14/2007
Last updated
08/22/2020
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