Individual
ANNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 CAMPUS RD, F-57, LOS ANGELES, CA 90041-3314
(323) 259-2657
(323) 341-4970
Mailing address
1600 CAMPUS RD, F-57, LOS ANGELES, CA 90041-3314
(323) 259-2657
(323) 341-4970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN755
DMH STAFF CODE
CA
01
—
PSY22180
BOARD OF PSYCHOLOGY
CA
Enumeration date
03/09/2007
Last updated
11/22/2013
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