Individual
AMY MARIE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG. 210C, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4056
Mailing address
11301 WILSHIRE BLVD, BLDG. 210C, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27514
CA
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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