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Individual

DR. DEBORAH EILEEN WISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
10444 SANTA MONICA BLVD, SUITE 301, LOS ANGELES, CA 90025-6959
(310) 824-2155
(310) 470-7969
Mailing address
10444 SANTA MONICA BLVD, SUITE 301, LOS ANGELES, CA 90025-6959
(310) 824-2155
(310) 470-7969

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16592
CA

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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