Individual
DR. DAVID WESLEY CONDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1114 E ROUTE 66, GLENDORA, CA 91740-3771
(626) 335-1218
(626) 335-1210
Mailing address
1114 E ROUTE 66, GLENDORA, CA 91740-3771
(626) 335-1218
(626) 335-1210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3941
CA
106H00000X
Marriage & Family Therapist
MFC 5410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6669619
—
CA
Enumeration date
02/08/2006
Last updated
08/03/2010
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