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Individual

DR. MARI SIAN DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4640 ADMIRALTY WAY, SUITE 500, MARINA DEL REY, CA 90292-6621
(650) 479-6609
Mailing address
5230 PACIFIC CONCOURSE DR, SUITE 300, LOS ANGELES, CA 90045-6200
(310) 643-9595
(310) 643-5180

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24383PSY
CA

Other

Enumeration date
01/31/2012
Last updated
08/21/2012
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