institution
Stan Tatkin, Psyd, Mft
Adult Mental Health Clinic/Center in Agoura Hills, California
NPI 1568998342

Stan Tatkin, Psyd, Mft is an Adult Mental Health Clinic/Center based in Agoura Hills, CA and is specialized in Adult Mental Health. Stan Tatkin, Psyd, Mft practices in Agoura Hills, CA. The NPI Number for Stan Tatkin, Psyd, Mft is 1568998342 and holds a License No. MFT 29303 (California).

The current practice location address for Stan Tatkin, Psyd, Mft is 5012 Chesebro Rd, Agoura Hills, CA and can be reached out via phone at 805-300-3074 and via fax at 805-300-3074.

Location: 5012 Chesebro Rd, Agoura Hills, CA, 91301-2272
institution
Provider Profile Details
NPI Number
1568998342
Provider Name
Stan Tatkin, Psyd, Mft
Credential
Provider Entity Type
Organization
Address
5012 Chesebro Rd, Agoura Hills, CA, 91301-2272
Phone Number
805-300-3074
Fax Number
805-300-3074
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5012 Chesebro Rd
City
State
Zip
91301-2272
Phone Number
805-300-3074
Fax Number
805-300-3074
person
Provider Business Mailing Address Details
Address
5012 Chesebro Rd
City
State
Zip
91301-2272
Phone Number
805-300-3074
Fax Number
805-300-3074
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
MFT 29303 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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