Individual
DR. KENNETH HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
444 S SAN VICENTE BLVD STE 103, LOS ANGELES, CA 90048-4169
(310) 423-9722
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY28449
CA
Other
Enumeration date
08/19/2016
Last updated
11/12/2025
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