Individual
JODIE MARIE KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7872 WALKER STREET, SUITE 200, LA PALMA, CA 90623
(714) 490-3428
(714) 224-3803
Mailing address
PO BOX 90125, LONG BEACH, CA 90809-0125
(800) 404-2353
(562) 795-0676
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY20647
BOARD OF PSYCHOLOGY
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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