Individual
FRED WILKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
9056 SANTA MONICA BLVD, SUITE 306A, WEST HOLLYWOOD, CA 90069-5545
(310) 659-4455
Mailing address
PO BOX 691849, WEST HOLLYWOOD, CA 90069-8849
(310) 659-4455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8380
CA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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