STAN TATKIN PSYD MFT NPI 1568998342

NPI Information

STAN TATKIN, PSYD, MFT is an adult mental health clinic center in Agoura Hills, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STAN TATKIN, PSYD, MFT NPI is 1568998342. The provider is registered as an organization entity type.

The provider's business location address is:

5012 CHESEBRO RD
SUITE 201
AGOURA HILLS, CA
ZIP 91301-272
Phone: (805) 300-3074
Fax: (805) 300-3074

The provider's authorized official is Stan Tatkin .
The authorized official title is Owner and has the following contact phone number (805) 300-3074.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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