Individual
CAROLYN MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3175
Mailing address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20035
CA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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