Individual
DR. JOHN MICHAEL KOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6641 N MARTY AVE, FRESNO, CA 93711-0824
(559) 440-9946
Mailing address
6641 N MARTY AVE, FRESNO, CA 93711-0824
(559) 440-9946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12668
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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