DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES KODIMER, PHD

Active Sole Proprietor

Clinical Psychologist · DOWNEY, CA

Registration Details

NPI Number
1023040599
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (19.790493509325 yrs)
Last Updated
Aug 25, 2015
Licenses
PSY 6629 (CA)
PSY 6629 (CA)
MFC 6318 (CA)
Sole Proprietor
Yes

Practice Information

Address
10927 DOWNEY AVE STE C
DOWNEY, CA, 902413739
Browse CA providers · Browse ZIP 90241
Phone
5628616180
Fax
9516940553
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Marriage & Family Therapist

Other Clinical Psychologist Providers in DOWNEY, CA

Name Credential NPI
JOEL ROBERT SUNKIN PH.D. 1891785721
DR. PAUL G SHUMAN PSY.D. 1013005677
DR. DEREK BURKEMAN PH.D. 1669553855
DR. PAUL MATTHEW ASCARATE PH.D. 1073694188
DR. GERALD FRED BARBA PH.D. 1215019393
DR. LINDA MAE RICHARDSON PH.D. 1346311792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.