Organization
EMMADA PSYCHOLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKEY WILLIAMSON PHD (PRESIDENT)
(866) 863-4645
Entity
Organization
Contact information
Practice address
8939 S SEPULVEDA BLVD, SUITE #200, LOS ANGELES, CA 90045-3631
(310) 903-0840
Mailing address
595 E COLORADO BLVD STE 211, PASADENA, CA 91101-2028
(866) 863-4645
(866) 863-4824
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
21442
CA
103TC0700X
Clinical Psychologist
Primary
20072
CA
103TC0700X
Clinical Psychologist
23098
CA
103TC2200X
Clinical Child & Adolescent Psychologist
24532
CA
Other
Enumeration date
01/12/2013
Last updated
03/17/2018
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