Dr Marvin Wade Altom, PHD - Psychologist in Agoura Hills, CA

Dr Marvin Wade Altom, PHD is a Psychologist - Clinical based in Agoura Hills, California. Dr Marvin Wade Altom is licensed to practice in California (license number PSY 24619) and his current practice location is 5014 Chesebro Rd Fl 2, Agoura Hills, California. He can be reached at his office (for appointments etc.) via phone at (818) 707-7366.

NPI number for Dr Marvin Wade Altom is 1457698359 and his current mailing address is 13676 Shenandoah Way, Moorpark, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457698359.

Contact Information

Dr Marvin Wade Altom, PHD
5014 Chesebro Rd Fl 2,
Agoura Hills, CA 91301-2278
(818) 707-7366
Not Available



Healthcare Provider's Profile

Full NameDr Marvin Wade Altom
GenderMale
SpecialityPsychologist - Clinical
Location5014 Chesebro Rd Fl 2, Agoura Hills, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457698359
  • Provider Enumeration Date: 01/11/2013
  • Last Update Date: 01/11/2013

Medical Identifiers

Medical identifiers for Dr Marvin Wade Altom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457698359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 24619 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marvin Wade Altom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marvin Wade Altom, PHD
13676 Shenandoah Way,
Moorpark, CA 93021-1262

Ph: (805) 341-0084
Dr Marvin Wade Altom, PHD
5014 Chesebro Rd Fl 2,
Agoura Hills, CA 91301-2278

Ph: (818) 707-7366

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› Verified 6 days ago


Psychologist in Agoura Hills, CA

Dr. Laura Lapiana, PSY.D.
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 28348 Roadside Dr Ste 201, Agoura Hills, CA 91301
Phone: 310-924-1761    Fax: 818-699-6053
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Phone: 818-307-0741    Fax: 818-394-6409
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Phone: 310-428-2431    

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