Charles W Crook Psychologist Inc | |
3400 Pacific Ave Apt 208 Marina Del Rey CA 90292-7815 | |
(310) 428-8787 | |
Not Available |
Full Name | Charles W Crook Psychologist Inc |
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Speciality | Psychologist - Clinical |
Location | 3400 Pacific Ave Apt 208, Marina Del Rey, California |
Authorized Official Name and Position | Charles W Crook (PRESIDENT) |
Authorized Official Contact | 3104288787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles W Crook Psychologist Inc 3400 Pacific Ave Apt 208 Marina Del Rey CA 90292-7815 Ph: () - | Charles W Crook Psychologist Inc 3400 Pacific Ave Apt 208 Marina Del Rey CA 90292-7815 Ph: (310) 428-8787 |
NPI Number | 1730859745 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 09/20/2021 |
Certification Date | 09/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730859745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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