Individual
BRUCE LEE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2239 TOWNSGATE RD, SUITE 104, WESTLAKE VILLAGE, CA 91361-2405
(805) 493-0325
(805) 241-3552
Mailing address
2239 TOWNSGATE RD, SUITE 104, WESTLAKE VILLAGE, CA 91361-2405
(805) 493-0325
(805) 241-3552
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY14884
STATE LICENSE
CA
Enumeration date
01/11/2006
Last updated
07/08/2007
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