Individual
DR. DEREK MATTHEW NOVACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(213) 253-2677
Mailing address
18615 E ARROW HWY APT 228, COVINA, CA 91722-1836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
114340
IA
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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