Individual
DR. GARY SPENCER FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10780 SANTA MONICA BLVD STE 450 SUITE 450, LOS ANGELES, CA 90025-7635
(310) 281-5531
(310) 559-8743
Mailing address
10780 SANTA MONICA BLVD STE 450, SUITE #450, LOS ANGELES, CA 90025-7635
(310) 281-5531
(310) 559-8743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY3673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY3673
STATE LICENSE NUMBER
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
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