Dr. Cynthia Jeanne Mothersole, PhD
Psychologist, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1881815652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881815652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cynthia Jeanne Mothersole
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY19483 | CA | Yes |
Practice location
5455 Wilshire Blvd., Ste. 1903Los Angeles, CA 90036
Phone 323-934-3861 · Fax 323-934-3862
Mailing address
5455 Wilshire Blvd., Ste. 1903Los Angeles, CA 90036
Phone 323-934-3861 · Fax 323-934-3862
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