Individual provider · Type 1 NPI

Bonita Weavingearth, PhD

Clinical Psychologist · Los Angeles, CA

NPI number 1356409759 Active

Practice location

11080 W Olympic Blvd Fl 1
Los Angeles, CA 90064-1937

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY17678 (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 1356409759

Bonita Weavingearth, PhD's National Provider Identifier is 1356409759, issued on Dec 5, 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.