MEDICARE: DR. MARINA BOCHKUR-DRATVER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PSY16633	CA

General Provider Information

NPI Number	:	1992839369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARINA BOCHKUR-DRATVER PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 1870
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91614-0870
Country	:	US
Telephone Number	:	818-730-7415
Fax Number	:

Provider Business Practice Location Address
First Line	:	17000 VENTURA BLVD STE 210
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4153
Country	:	US
Telephone Number	:	818-730-7415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/05/2021

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