Individual
DR. BRIAN T. MAYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3200 MOTOR AVENUE, VISTA DEL MAR CHILD AND FAMILY SERVICES, LOS ANGELES, CA 90034
(310) 836-1223
(310) 838-2791
Mailing address
PO BOX 691478, LOS ANGELES, CA 90069-9478
(310) 497-3325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 22663
CA
Other
Enumeration date
03/15/2007
Last updated
06/03/2013
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