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Individual

DR. H. KEITH MASSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
23030 LYONS AVE STE 200, NEWHALL, CA 91321-2754
(661) 425-7066
(805) 299-4505
Mailing address
3905 STATE ST STE 7-276, SANTA BARBARA, CA 93105-3138
(661) 425-7066
(805) 299-4505

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25003
CA
103T00000X
Psychologist
Primary
PSY11229
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY11229
PSYCHOLOGIST LICENSE
CA
Enumeration date
07/18/2012
Last updated
03/09/2020
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