Marvin Wade Altom, PH.D Valid NPI

Individual provider · Clinical Psychologist · Agoura Hills, CA

NPI

1457698359

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY 24619 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2013-01-11

Last updated

2013-01-11