Individual
DR. DAVID SMITH WILDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7985 SANTA MONICA BLVD, #124, WEST HOLLYWOOD, CA 90046-5074
(213) 369-6477
Mailing address
7985 SANTA MONICA BLVD, #124, WEST HOLLYWOOD, CA 90046-5074
(213) 369-6477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14224
CA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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