Condiff, David Wesley

Condiff, David Wesley is an sole proprietor health care provider with primary practice located at 1114 E Route 66 , Glendora CA 91740-3771. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Condiff, David Wesley can be contacted via phone (626) 335-1218.

Contact Information

Primary practice address
1114 E Route 66 Glendora CA 91740-3771
Phone: (626) 335-1218
Fax: (626) 335-1210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY3941 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 5410 California

Profile Details

NPI number 1831162296
LBN Legal business name Condiff, David Wesley
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Aug 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831162296 NPPES
California MEDICAID 6669619

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