CHARLOTTE DISTEFANO

LOS ANGELES, CA
NPI1679096101
Former NameCHARLOTTE MUCCHETTI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY29280)
Additional Taxonomies103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: CA  PSY29280)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
CHARLOTTE DISTEFANO PhD
760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA 90095-8353
Phone number: 310-825-0586
Mailing Address
CHARLOTTE DISTEFANO PhD
760 WESTWOOD PLZ # A7-461
LOS ANGELES, CA 90095-8353
Phone number: 310-825-8892