Individual
DR. GABRIELLE DU VERGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 7TH ST, SUITE 202, SANTA MONICA, CA 90401-1642
(310) 820-4928
(310) 820-6900
Mailing address
11693 SAN VICENTE BLVD # 412, LOS ANGELES, CA 90049-5105
(310) 820-4928
(310) 820-6900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13096
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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