Individual
DR. ROBERT WILLIAM ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
5777 W CENTURY BLVD STE 1645B, LOS ANGELES, CA 90045-5696
(310) 545-6400
(310) 939-7065
Mailing address
5777 W CENTURY BLVD STE 1645B, LOS ANGELES, CA 90045-5696
(310) 545-6400
(310) 939-7065
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
711
HI
103G00000X
Clinical Neuropsychologist
Primary
PSY5107
CA
Other
Enumeration date
01/16/2007
Last updated
03/28/2013
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