Individual
DR. LARRY E GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
19449 SINGING HILLS DR, NORTHRIDGE, CA 91326-1719
(818) 360-1514
Mailing address
19449 SINGING HILLS DR, NORTHRIDGE, CA 91326-1719
(818) 360-1514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10887
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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