Individual
DR. GABRIEL CRENSHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
401 WILSHIRE BLVD PH SUITE, SANTA MONICA, CA 90401-1416
(310) 496-4277
Mailing address
401 WILSHIRE BLVD PH SUITE, SANTA MONICA, CA 90401-1416
(310) 251-9428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
I DON'T HAVE SUCH NUMBERS.
—
Enumeration date
06/29/2021
Last updated
06/29/2021
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