Individual
DYAN ELIZABETH COLVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3321 EDITH ST, LOS ANGELES, CA 90064-4736
(310) 202-0669
(310) 839-4158
Mailing address
1825 IDAHO AVE, SANTA MONICA, CA 90403-3301
(310) 829-5030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14969
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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