Individual
BENNETT WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2898 ROWENA AVE STE 206, LOS ANGELES, CA 90039-2096
(323) 660-0728
Mailing address
2898 ROWENA AVE STE 206, LOS ANGELES, CA 90039-2096
(323) 660-0728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16172
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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