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Individual

DR. DYLAN GALEN HARWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064
(310) 273-4843
(310) 273-5056
Mailing address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
(310) 273-4843
(310) 273-5056

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY17667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
546789
CA
Enumeration date
09/20/2006
Last updated
05/31/2018
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