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Individual

CLARITA WISNIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
12011 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90049-4946
(818) 539-7589
(818) 539-7589
Mailing address
12011 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90049-4946
(818) 539-7589
(818) 539-7586

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13323
CA

Other

Enumeration date
10/17/2007
Last updated
12/09/2025
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