Organization
HUMAN DEVELOPMENT ASSOCIATES CLINICAL & FORENSIC PSYCHOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HENRY PRUITT PHD (PROVIDER)
(323) 874-6966
Entity
Organization
Contact information
Practice address
7250 FRANKLIN AVE, UNIT 1115, LOS ANGELES, CA 90046-3046
(323) 874-6966
(323) 874-1419
Mailing address
7250 FRANKLIN AVE, UNIT 1115, LOS ANGELES, CA 90046-3046
(323) 874-6966
(323) 874-1419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY4089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL40890
—
CA
Enumeration date
09/30/2010
Last updated
01/31/2011
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