Individual
DR. ANNE VICTORIA TOOTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11900 W OLYMPIC BLVD STE 410, LOS ANGELES, CA 90064-1168
(310) 243-6479
Mailing address
11900 W OLYMPIC BLVD STE 410, LOS ANGELES, CA 90064-1168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34157
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2019
Last updated
02/07/2024
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