Stan Tatkin, Psyd, Mft | |
5012 Chesebro Rd Suite 201 Agoura Hills CA 91301-2272 | |
(805) 300-3074 | |
(805) 300-3074 |
Full Name | Stan Tatkin, Psyd, Mft |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 5012 Chesebro Rd, Agoura Hills, California |
Authorized Official Name and Position | Stan Tatkin (OWNER) |
Authorized Official Contact | 8053003074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stan Tatkin, Psyd, Mft 5012 Chesebro Rd Suite 201 Agoura Hills CA 91301-2272 Ph: (805) 300-3074 | Stan Tatkin, Psyd, Mft 5012 Chesebro Rd Suite 201 Agoura Hills CA 91301-2272 Ph: (805) 300-3074 |
NPI Number | 1568998342 |
---|---|
Provider Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568998342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | MFT 29303 (California) | Primary |
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› Verified 5 days ago
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