Individual
DR. CAROL SIEGAL WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10436 SANTA MONICA BLVD, SUITE 3010, LOS ANGELES, CA 90025
(310) 281-6045
Mailing address
10436 SANTA MONICA BLVD, SUITE 3010, LOS ANGELES, CA 90025
(310) 281-6045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5997
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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