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Individual

DR. KRISTOPHER IAN MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
221 WESTWOOD PLZ, SUITE 2437, LOS ANGELES, CA 90095-1556
(310) 384-0374
Mailing address
221 WESTWOOD PLZ, SUITE 2437, LOS ANGELES, CA 90095-1556
(310) 384-0374

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 25704
CA

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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