Organization
CHARLES KODIMER PHD PSYCHOLOGICAL
Active
Other names
CHARLES KODIMER PHD AND ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KODIMER PHD (OWNER)
(562) 861-6180
Entity
Organization
Contact information
Practice address
10927 DOWNEY AVE STE C, DOWNEY, CA 90241-3739
(562) 861-6180
Mailing address
PO BOX 78988, CORONA, CA 92877-0166
(951) 676-4393
(951) 694-0553
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 6629
CA
103TC0700X
Clinical Psychologist
Primary
PSY 6629
CA
106H00000X
Marriage & Family Therapist
MFC 6318
CA
Other
Enumeration date
05/22/2006
Last updated
02/13/2023
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