Individual
KENNETH MARK CINNAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4021 STONEYBROOK DR, SHERMAN OAKS, CA 91403-4549
(818) 929-8204
Mailing address
4021 STONEYBROOK DR, SHERMAN OAKS, CA 91403-4549
(818) 929-8204
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20890
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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