Individual
DR. DYAN ELIZABETH CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 401, RM B131, LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BLDG 401, RM B131, LOS ANGELES, CA 90073
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY34498
CA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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