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Organization
PL WIZ PSYCHOLOGY INC
Active
Organization
PL WIZ PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA L WISNE PH.D. (OWNER)
(310) 828-1332
Entity
Organization
Contact information
Practice address
1427 21ST ST APT A, SANTA MONICA, CA 90404-2970
(310) 828-1332
(310) 587-9206
Mailing address
1427 21ST ST APT A, SANTA MONICA, CA 90404-2970
(310) 828-1332
(310) 587-9206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6796
CA
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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