Individual
ADAM WISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3982 S. FIGUEROA STREET, SUITE 203, LOS ANGELES, CA 90037
(213) 440-5824
Mailing address
3982 S. FIGUEROA STREET, SUITE 203, LOS ANGELES, CA 90037
(213) 440-5824
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28792
CA
103T00000X
Psychologist
—
—
Other
Enumeration date
03/22/2018
Last updated
09/19/2018
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