Individual
CONSTANCE R. FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2730 WILSHIRE BLVD, SUITE 449, SANTA MONICA, CA 90403-4743
(310) 305-7918
Mailing address
2730 WILSHIRE BLVD, SUITE 449, SANTA MONICA, CA 90403-4743
(310) 305-7918
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14549
CA
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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