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Individual

DR. CHERYL BLANCHE LANKTREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1137 2ND ST, 213, SANTA MONICA, CA 90403-5011
(213) 701-1149
Mailing address
1137 2ND ST, 213, SANTA MONICA, CA 90403-5011
(213) 701-1149

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9995
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY9995
CA

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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