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DR. WILLIAM WADE DEARDORFF PH.D.

Clinical Neuropsychologist

Beverly Hills, California

Provider NPI: 1568413250

Provider Information:
DR. WILLIAM WADE DEARDORFF PH.D.
Gender: M
Sole Proprietor


Practice Location:
120 S SPALDING DR SUITE 400 BEVERLY HILLS, CA 90212 US
Tel: 714-437-7400  Fax: 714-437-7410

Business Mailing Address:
PO BOX 9061  CALABASAS, CA 91372 US
Tel: 714-437-7400  Fax: 714-437-7410

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY9740

Other Provider Identifiers:

IssuerNumberStateType
STATE LICENSEPSY9740CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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