Individual
MR. MICHAEL POBANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LEP
Contact information
Practice address
17915 ERWIN ST, ENCINO, CA 91316-7109
(818) 497-4142
Mailing address
17915 ERWIN ST, ENCINO, CA 91316-7109
(818) 497-4142
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP 2826
CA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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