Individual
DR. CRYSTLE PRUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7000 ROMAINE ST STE 207, LOS ANGELES, CA 90038-2304
(213) 465-0667
Mailing address
7000 ROMAINE STREET, SUITE 207, LOS ANGELES, CA 90038-7318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31568
CA
Other
Enumeration date
08/12/2015
Last updated
04/06/2021
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