Individual
CYNTHIA ANN TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
FILE 2939, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8714
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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