Individual
KINGSLEY ANYANWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A PSYCHOLOGY
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 779-5116
Mailing address
7013 HASKELL AVE, 206, VAN NUYS, CA 91406-5172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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