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Individual

ADAM WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
15235 BURBANK BLVD STE A2, SHERMAN OAKS, CA 91411-3555
(310) 591-9696
Mailing address
PO BOX 1290, VENICE, CA 90294-1290

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY31433
CA

Other

Enumeration date
11/14/2019
Last updated
10/09/2020
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