Individual
DR. CRAIG ALAN CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2124 BOGIE DR, LA VERNE, CA 91750-1303
(909) 821-5398
Mailing address
2124 BOGIE DR., LA VERNE, CA 91750-5144
(909) 821-5398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 18857
CA
Other
Enumeration date
04/24/2007
Last updated
08/05/2008
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