Harwood, Dylan Galen

Harwood, Dylan Galen is an individual health care provider with primary practice located at 11835 W Olympic Blvd Ste 1265E , Los Angeles CA 90064. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Harwood, Dylan Galen can be contacted via phone (310) 273-4843.

Contact Information

Primary practice address
11835 W Olympic Blvd Ste 1265E Los Angeles CA 90064
Fax: (310) 273-5056
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY17667 California

Profile Details

NPI number 1245337039
LBN Legal business name Harwood, Dylan Galen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 31st, 2018 - about 6 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 1245337039 NPPES
California MEDICAID 546789

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