Individual
DR. GABRIELLE WEINBERG BODOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1137 2ND STREET #207, SUITE 207, SANTA MONICA, CA 90403
(310) 860-9040
Mailing address
1137 2ND STREET #207, SANTA MONICA, CA 90403
(310) 860-9040
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13060
CA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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