Individual
DR. PHILIP KELLY STENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6230 WILSHIRE BLVD, #37, LOS ANGELES, CA 90048-5104
(323) 957-4700
(661) 291-1741
Mailing address
6230 WILSHIRE BLVD, #37, LOS ANGELES, CA 90048-5104
(323) 957-4700
(661) 291-1741
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY11042
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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