Whalio Doctors

NPI 1003035304

Jennie M. Mathess, PSYD

Practitioner Clinical Psychologist Los Angeles, CA

Practice location

Address
840 N Avenue 66, Los Angeles, CA 90042-1508
Phone
(626) 395-7100

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY21405 (CA)

Registry record

NPI
1003035304
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2007
Record last updated
3 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.