Gantman, Alexander

Gantman, Alexander is an sole proprietor health care provider with primary practice located at 12053 Emelita St #7, Valley Village CA 91607. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gantman, Alexander can be contacted via phone (323) 547-6760.

Contact Information

Primary practice address
12053 Emelita St #7 Valley Village CA 91607
Phone: (323) 547-6760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1669609780
LBN Legal business name Gantman, Alexander
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Aug 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669609780 NPPES
California MEDICAID PSY236950

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