Individual
DR. ANDREW JEREMY VANDERNOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 WILSHIRE BLVD, SUITE 240, LOS ANGELES, CA 90017-2457
(323) 806-7199
Mailing address
1410 N CURSON AVE, #204, LOS ANGELES, CA 90046-4023
(323) 533-9423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26293
CA
Other
Enumeration date
08/27/2007
Last updated
06/17/2015
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