Individual
DR. KATI BRECKENRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 FAIRBURN AVE STE 205, LOS ANGELES, CA 90025-4968
(310) 446-0064
Mailing address
9850 EASTON DR, BEVERLY HILLS, CA 90210-1418
(310) 446-0064
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY. 4059
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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