Waldman, Kenneth Michael
Waldman, Kenneth Michael is an sole proprietor health care provider with primary practice located at 11340 W Olympic Blvd Suite 358, Los Angeles CA 90064-1608. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Waldman, Kenneth Michael can be contacted via phone (310) 473-1505.Contact Information
Primary practice address
11340 W Olympic Blvd Suite 358
Los Angeles CA 90064-1608
Phone: (310) 473-1505
Fax: (310) 455-3783
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY16335 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY16335 | California |
Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | PSY16335 | California |
Profile Details
NPI number | 1467679993 |
---|---|
LBN Legal business name | Waldman, Kenneth Michael |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 19th, 2007 |
Last updated | Jul 6th, 2024 - about 2 months 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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