CAROL GOTTUSO JAENICKE

LOS ANGELES, CA
NPI1194917625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY9677)
Enumeration Date2007-08-17
Last Update Date2007-08-17
Business Address
Dr. CAROL GOTTUSO JAENICKE Ph.D.
12304 SANTA MONICA BLVD STE. 211
LOS ANGELES, CA 90025-2551
Phone number: 323-936-5718
Mailing Address
Dr. CAROL GOTTUSO JAENICKE Ph.D.
12304 SANTA MONICA BLVD STE. 211
LOS ANGELES, CA 90025-2551
Phone number: 323-936-5718