Individual
DR. KENNETH MARVIN NOWACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 6TH ST APT 2, SANTA MONICA, CA 90405-4432
(310) 721-2918
Mailing address
2208 6TH ST, SANTA MONICA, CA 90405-2406
(310) 721-2918
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13758
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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