Individual
DR. MIRIAM WOLLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1000 W CARSON ST, D5, TORRANCE, CA 90502-2004
(310) 222-2345
Mailing address
1000 W CARSON ST, D5, TORRANCE, CA 90502-2004
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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