Individual
DR. JEFFREY SCOTT PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
719 FREMONT AVE, SOUTH PASADENA, CA 91030-6019
(626) 403-3500
(626) 403-6894
Mailing address
719 FREMONT AVE, SOUTH PASADENA, CA 91030-6019
(626) 403-3500
(626) 403-6894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 8064
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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