Organization
ANAVAULT, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE W VALTER PSYD (PRESIDENT, CEO)
(805) 813-3774
Entity
Organization
Contact information
Practice address
25350 MAGIC MOUNTAIN PKWY STE 300, SANTA CLARITA, CA 91355-1356
(805) 813-3774
Mailing address
PO BOX 959, SOMIS, CA 93066-0959
(805) 813-3774
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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