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Individual

DAVID MIKLOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
760 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 267-2659

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY9851
CA
103TC0700X
Clinical Psychologist
Primary
PSY9851
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY985100
CA
Enumeration date
03/13/2009
Last updated
08/08/2024
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