Individual
DR. BRUCE RICHARD WATKINS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1314 WESTWOOD BLVD, SUITE 201, LOS ANGELES, CA 90024-4928
(310) 475-5977
Mailing address
1314 WESTWOOD BLVD, SUITE 201, LOS ANGELES, CA 90024-4928
(310) 475-5977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4049
CA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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