Altom, Marvin Wade

Altom, Marvin Wade is an individual health care provider with primary practice located at 5014 Chesebro Rd Fl 2 , Agoura Hills CA 91301-2278. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Altom, Marvin Wade can be contacted via phone (818) 707-7366.

Contact Information

Primary practice address
5014 Chesebro Rd Fl 2 Agoura Hills CA 91301-2278
Phone: (818) 707-7366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 24619 California

Profile Details

NPI number 1457698359
LBN Legal business name Altom, Marvin Wade
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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