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Contact Information

KRISTEN V EDDY, PSYD, MACL
11835 W OLYMPIC BLVD STE 1265E
LOS ANGELES, CA90064
 Phone: 310-273-4843
 Fax: 310-273-5056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTEN V EDDY · (Female)

NPI Number 1013466994
Status Active
Credentials PSYD, MACL
Entity Individual
Enumeration date 10/03/2016
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY29193
  • CA Other CB290129 MEDICARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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