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Dr. Charles Brent Wasserman SR., PHD
Clinical Psychologist in Northridge, California
NPI 1659361731

Charles Brent Wasserman SR. is a Clinical Psychologist based in Northridge, CA and is specialized in Clinical. Charles Brent Wasserman SR. practices in Northridge, CA and has the professional credentials of PHD. The NPI Number for Charles Brent Wasserman SR. is 1659361731 and holds a License No. PSY5722 (California).

The current practice location address for Charles Brent Wasserman SR. is 19542 Mayall St, Northridge, CA and can be reached out via phone at 818-718-9705 and via fax at 818-718-2276.

Location: 19542 Mayall St, Northridge, CA, 91324-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659361731
Provider Name
Charles Brent Wasserman SR.
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
19542 Mayall St, Northridge, CA, 91324-1014
Phone Number
818-718-9705
Fax Number
818-718-2276
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00PL57220 05 CA
00PL57220 01 CA LOS ANGELES COUNTY DMH
institution
Provider Business Practice Location Address Details
Address
19542 Mayall St
City
Northridge
State
California
Zip
91324-1014
Phone Number
818-718-9705
Fax Number
818-718-2276
person
Provider Business Mailing Address Details
Address
19542 Mayall St
City
Northridge
State
California
Zip
91324-1014
Phone Number
818-718-9705
Fax Number
818-718-2276
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY5722 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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