Individual
DR. EDY GERETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1729 E PINE AVE APT 5, EL SEGUNDO, CA 90245-4456
(310) 622-5835
Mailing address
1729 E PINE AVE APT 5, EL SEGUNDO, CA 90245-4456
(310) 622-5835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19514
CA
Other
Enumeration date
04/06/2007
Last updated
08/27/2011
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