Individual
KECIA FUMI WATARI KNOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1520 SAN PABLO ST, SUITE 3000, LOS ANGELES, CA 90033
(323) 442-5710
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5710
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20052
CA
Other
Enumeration date
07/19/2006
Last updated
11/27/2023
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