# C. DRAVEN GODWIN PSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750830493
- **Authorized official:** DR. CHRISTIAN DRAVEN GODWIN M.ED., PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (323) 610-9107

## Contact information

- **Practice address:** 4370 TUJUNGA AVE STE 150, STUDIO CITY, CA 91604-2753
- **Practice address phone:** (310) 795-4428
- **Practice address fax:** (818) 396-3173
- **Mailing address:** 4370 TUJUNGA AVE STE 150, STUDIO CITY, CA 91604-2753
- **Mailing address phone:** (310) 795-4428
- **Mailing address fax:** (818) 396-3173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY21516 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2016
- **Last updated:** 09/22/2016