Jason Matthew Villalobos

NPI #1023764677 in Valley Village, California

Provider Information

NPI Number: 1023764677
Entity Type: Individual
Name: Jason Matthew Villalobos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Enumeration Date: Feb 22, 2022
Last Updated: Feb 22, 2022

Practice Location

Address: 12501 CHANDLER BLVD STE 102
City: Valley Village
State: California
ZIP Code: 91607-1955
Phone: (818) 821-6012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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