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Individual

DR. GARY ARTHUR CROUPPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16260 VENTURA BLVD STE 415, ENCINO, CA 91436-2240
(818) 986-2947
(805) 375-5753
Mailing address
16260 VENTURA BLVD STE 415, ENCINO, CA 91436-2240
(818) 986-2947
(805) 375-5753

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5235
CA

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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