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Organization

UCLA SEMEL INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CRAWFORD (PSYCHOLOGY TRAINING PROGRAM)
(310) 794-5715
Entity
Organization

Contact information

Practice address
615 6TH ST, DAVIS, CA 95616-3807
(360) 581-4703
Mailing address
615 6TH ST, DAVIS, CA 95616-3807
(360) 581-4703

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
04/25/2017
Last updated
04/25/2017
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