Organization
DR. CLARITA WISNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARITA WISNIA PH.D. (OWNER)
(818) 990-5906
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE LL30, ENCINO, CA 91436-2203
(818) 990-5906
Mailing address
16260 VENTURA BLVD, SUITE LL30, ENCINO, CA 91436-2203
(818) 990-5906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY13323
CA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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