Individual
DR. GLENN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 204-1666
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 204-1666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103T0700X
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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