Individual
DR. JOSEPH HENRY PRUITT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7250 FRANKLIN AVE, UNIT 1115, LOS ANGELES, CA 90046-3049
(323) 874-6966
(323) 874-1419
Mailing address
7250 FRANKLIN AVE, UNIT 1115, LOS ANGELES, CA 90046-3049
(323) 874-6966
(323) 874-1419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31479482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL40890
—
CA
Enumeration date
10/18/2006
Last updated
09/03/2010
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