My Private Practice, Inc.
NPI #1144640491 in Santa Monica, California
Provider Information
- NPI Number
- 1144640491
- Entity Type
- Organization
- Organization Name
- My Private Practice, Inc.
- Primary Specialty
- Psychologist
- Enumeration Date
- Apr 24, 2014
- Last Updated
- Apr 24, 2014
Practice Location
- Address
- 3201 WILSHIRE BLVD STE 201
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403-2337
- Phone
- (310) 569-8321
Authorized Official
- Name
- DR. KENNETH CHARLES SCOTT, PSY.D.
- Title
- PRESIDENT
- Phone
- (310) 569-8321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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