Takakjian, Philip Martin

Takakjian, Philip Martin is an sole proprietor health care provider with primary practice located at 1480 64Th St Ste 150 , Emeryville CA 94608-2267. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Takakjian, Philip Martin can be contacted via phone (415) 296-5290.

Contact Information

Primary practice address
1480 64Th St Ste 150 Emeryville CA 94608-2267
Fax: (415) 296-5299
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15142 California

Profile Details

NPI number 1225052889
LBN Legal business name Takakjian, Philip Martin
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Nov 30th, 2021 - about 3 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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