Individual provider · Type 1 NPI

Kevin Joel Wittenberg, PhD

Clinical Psychologist · Los Angeles, CA

NPI number 1275613770 Active

Practice location

2566 Overland Ave, 500A
Los Angeles, CA 90064-3366

Fax (310) 446-5489

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY17531 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1275613770

Kevin Joel Wittenberg, PhD's National Provider Identifier is 1275613770, issued on Oct 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.