Individual
DR. DOROTHY ELVIRA MALMSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2727 6TH ST APT 301, SANTA MONICA, CA 90405-4424
(310) 399-7823
Mailing address
2727 6TH ST APT 301, SANTA MONICA, CA 90405-4424
(310) 399-7823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY158830
—
CA
Enumeration date
10/21/2006
Last updated
08/03/2010
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