Individual
CHRISTINE THERESA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
19700 S VERMONT AVE, SUITE 200 & 250, TORRANCE, CA 90502-1100
(310) 783-4677
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 794-0506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33497
CA
Other
Enumeration date
09/12/2016
Last updated
08/08/2024
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