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Individual

DR. GARY LEE VIDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
50 N HILL AVE STE 202, PASADENA, CA 91106-1949
(626) 739-8388
Mailing address
21 HIDDEN VALLEY RD STE 10, MONROVIA, CA 91016-1601

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 5219
CA

Other

Enumeration date
02/28/2006
Last updated
09/05/2024
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