Individual
CHARLES WILLIAM CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 PACIFIC AVE APT 208, MARINA DEL REY, CA 90292-7815
(310) 428-8787
Mailing address
3400 PACIFIC AVE APT 208, MARINA DEL REY, CA 90292-7815
(310) 428-8787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
15487
—
103TC0700X
Clinical Psychologist
Primary
30680
CA
Other
Enumeration date
03/06/2019
Last updated
11/16/2023
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