Individual
BRENDA VANWYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
15233 VENTURA BLVD.,, SUITE 1204, SHERMAN OAKS, CA 91403
(818) 667-1168
Mailing address
15233 VENTURA BLVD.,, SUITE 1204, SHERMAN OAKS, CA 91403
(818) 667-1168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21299
CA
Other
Enumeration date
03/15/2007
Last updated
09/16/2015
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