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Individual

DR. AMI ISRAEL STUDENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2250 S PALM CANYON DR UNIT 35, PALM SPRINGS, CA 92264-9376
(213) 465-0040
Mailing address
645 W 9TH ST UNIT 110-170, LOS ANGELES, CA 90015-1640

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
202862
ID
103TC0700X
Clinical Psychologist
Primary
27086
CA
103TC0700X
Clinical Psychologist
3673
OR

Other

Enumeration date
07/22/2010
Last updated
02/06/2024
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