Lawrence John Havert, PH.D. Valid NPI
Individual provider · Psychologist · Rialto, CA
- NPI
- 1164567285
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- PSY14327 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-20
- Last updated
- 2007-07-08
Practice location
850 E Foothill Blvd, Room E134
Rialto, CA 92376-5230
(909) 421-9440