Charlotte Modahl, PH.D.
NPI #1205163847 in Cypress, California
Provider Information
- NPI Number
- 1205163847
- Entity Type
- Individual
- Name
- Charlotte Modahl, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Nov 3, 2009
- Last Updated
- Nov 4, 2010
Practice Location
- Address
- 1601 BALL RD
- Address 2
- #304
- City
- Cypress
- State
- California
- ZIP Code
- 90630
- Phone
- (562) 431-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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