Individual
DR. CHARLOTTE REZNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11911 SAN VICENTE BLVD, SUITE 240, LOS ANGELES, CA 90049-5086
(310) 889-7859
Mailing address
11911 SAN VICENTE BLVD, SUITE 240, LOS ANGELES, CA 90049-5086
(310) 889-7859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP1475
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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