| Maury T.carlin,,ph.d,a Psychological Corporation | |
|
16311 Ventura Blvd Suite 1050 Encino CA 91436-2124 | |
| (818) 783-3836 | |
| (818) 783-3832 |
| Full Name | Maury T.carlin,,ph.d,a Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 16311 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Maury Theodore Carlin (PRESIDENT-CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8187833836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maury T.carlin,,ph.d,a Psychological Corporation 16311 Ventura Blvd, Suite 1050 Encino CA 91436-4347 Ph: (818) 783-3836 | Maury T.carlin,,ph.d,a Psychological Corporation 16311 Ventura Blvd Suite 1050 Encino CA 91436-2124 Ph: (818) 783-3836 |
| NPI Number | 1487674099 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496842478 |
|---|---|
| Medicare Enrollment ID | O20071107000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487674099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY3068 (California) | Primary |
| Provider Name | Maury T Carlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427089358 PECOS PAC ID: 3678660651 Enrollment ID: I20071107000849 |
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