Organization
STAN TATKIN, PSYD, MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN TATKIN PSYD, MFT (OWNER)
(805) 300-3074
Entity
Organization
Contact information
Practice address
5012 CHESEBRO RD, SUITE 201, AGOURA HILLS, CA 91301-2272
(805) 300-3074
(805) 300-3074
Mailing address
5012 CHESEBRO RD, SUITE 201, AGOURA HILLS, CA 91301-2272
(805) 300-3074
(805) 300-3074
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MFT 29303
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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