Individual
DR. KRYSTAL BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 802-0407
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 802-0407
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32817
CA
103T00000X
Psychologist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
06/26/2015
Last updated
08/31/2023
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