| Bryce Mcdavitt Phd | |
|
11712 Moorpark St Ste 204b Studio City CA 91604-2158 | |
| (323) 801-8123 | |
| Not Available |
| Full Name | Bryce Mcdavitt Phd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11712 Moorpark St Ste 204b, Studio City, California |
| Authorized Official Name and Position | Bryce Mcdavitt (OWNER) |
| Authorized Official Contact | 3238018123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Mcdavitt Phd 11712 Moorpark St Ste 204b Studio City CA 91604-2158 Ph: (323) 801-8123 | Bryce Mcdavitt Phd 11712 Moorpark St Ste 204b Studio City CA 91604-2158 Ph: (323) 801-8123 |
| NPI Number | 1023547981 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023547981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY28942 (California) | Primary |
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