Individual
DR. DARA LYNN VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2566 OVERLAND AVE, SUITE 500A, LOS ANGELES, CA 90064-3366
(310) 216-0505
(310) 216-0505
Mailing address
5935 S GARTH AVE, LOS ANGELES, CA 90056-1513
(310) 216-0505
(310) 216-0505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11577
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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