Individual
DR. RAPHAEL ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1014 S PACIFIC COAST HWY, SUITE 102, REDONDO BEACH, CA 90277-4765
(310) 855-3288
(310) 855-3498
Mailing address
326 S PACIFIC COAST HWY, STE 200, REDONDO BEACH, CA 90277-3769
(310) 855-3288
(310) 855-3498
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21258
CA
103T00000X
Psychologist
PSY21258
CA
103TA0700X
Adult Development & Aging Psychologist
PSY21258
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY21258
CA
103TC0700X
Clinical Psychologist
PSY21258
CA
Other
Enumeration date
02/07/2007
Last updated
09/07/2018
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