Individual
CHARLES L. HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4939
(323) 563-9333
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4939
(323) 563-9333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19508
CA
Other
Enumeration date
11/09/2018
Last updated
11/13/2018
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