Organization
BRAIN WAVE PSYCHOLOGICAL NEUROTHERAPY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T. MCKINNEY PSY.D (CEO)
(818) 821-6012
Entity
Organization
Contact information
Practice address
850 COLORADO BLVD 203, EAGLE ROCK, CA 90041-1733
(818) 821-6012
(818) 821-6014
Mailing address
850 COLORADO BLVD STE 203, EAGLE ROCK, CA 90041-1733
(818) 821-6012
(818) 821-6014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28004
CA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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