Individual
DR. GLENN ISAO MASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9353 VALLEY BLVD, SUITE C, ROSEMEAD, CA 91770-1934
(626) 287-2988
(626) 287-1937
Mailing address
9353 VALLEY BLVD, SUITE C, ROSEMEAD, CA 91770-1934
(626) 287-2988
(626) 287-1937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13240
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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