Stephan Brett Poulter PH.D

NPI 1053514679 - Psychologist - 103TC0700X

NPI Details
NPI 1053514679
Gender Male
Enumeration Date 06/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11980 SAN VICENTE BLVD STE 607
LOS ANGELES CA, 90049-6604, US
Phone (310) 820-7393
Fax
Business Location
11980 SAN VICENTE BLVD STE 607
LOS ANGELES CA, 90049-6604, US
Phone (310) 820-7393
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY13992
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According to our database, Dr. Stephan Brett Poulter PH.D NPI is 1053514679, taxonomy code is 103TC0700X and license number is PSY13992, license state is located at California. Stephan Brett Poulter PH.D physically located at 11980 San Vicente Blvd Ste 607, Los Angeles CA, 90049-6604. NPI Number Stephan Brett Poulter PH.D has the Individual type.

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1053514679 NPI number is provided on an as is basis without warranty of any kind. 1053514679 is maintained by the National Plan & Provider Enumeration System. The contents of Stephan Brett Poulter PH.D are for informational purposes only.