Individual
DR. JOHN CHARLES FRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
401 SAN VICENTE BLVD, SUITE C, SANTA MONICA, CA 90402-1744
(310) 422-8233
Mailing address
20 SUNNY VISTA AVE, OAK PARK, CA 91377-1013
(310) 422-8233
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00377600
NJ
103G00000X
Clinical Neuropsychologist
Primary
PSY 17493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9090002
—
NJ
Enumeration date
11/01/2006
Last updated
02/26/2008
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