Individual
CHARLES DAVID KREUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
450 BAUCHET ST, IRC/JMHS, LOS ANGELES, CA 90012-2907
(213) 473-6119
Mailing address
450 BAUCHET ST, IRC/JMHS, LOS ANGELES, CA 90012-2907
(213) 473-6119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4703
CA
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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