Individual
DR. WILLIAM WADE DEARDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
120 S SPALDING DR, SUITE 400, BEVERLY HILLS, CA 90212-1800
(714) 437-7400
(714) 437-7410
Mailing address
PO BOX 9061, CALABASAS, CA 91372-9061
(714) 437-7400
(714) 437-7410
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY9740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY9740
STATE LICENSE
CA
Enumeration date
05/15/2006
Last updated
03/06/2014
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