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Organization

CHARLES W CROOK PSYCHOLOGIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES W CROOK PSYD (PRESIDENT)
(310) 428-8787
Entity
Organization

Contact information

Practice address
3400 PACIFIC AVE APT 208, MARINA DEL REY, CA 90292-7815
(310) 428-8787
Mailing address
3400 PACIFIC AVE APT 208, MARINA DEL REY, CA 90292-7815

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
09/20/2021
Last updated
09/20/2021
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