DR. Elizabeth Shannon Wellford-Magnis, PHD

NPI #1588020192 in Venice, California

Provider Information

NPI Number: 1588020192
Entity Type: Individual
Name: DR. Elizabeth Shannon Wellford-Magnis, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jan 12, 2016
Last Updated: Jan 12, 2016

Practice Location

Address: 905 MILWOOD AVE
City: Venice
State: California
ZIP Code: 90291-3832
Phone: (310) 968-1924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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