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Organization

C. DRAVEN GODWIN PSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN DRAVEN GODWIN M.ED., PH.D. (PSYCHOLOGIST)
(323) 610-9107
Entity
Organization

Contact information

Practice address
4370 TUJUNGA AVE STE 150, STUDIO CITY, CA 91604-2753
(310) 795-4428
(818) 396-3173
Mailing address
4370 TUJUNGA AVE STE 150, STUDIO CITY, CA 91604-2753
(310) 795-4428
(818) 396-3173

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY21516
CA

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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