Healthcare Provider Details

I. General information

NPI: 1265193932
Provider Name (Legal Business Name): DAVID ROBERT MAY AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/13/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 WILSHIRE BLVD STE 1007
BEVERLY HILLS CA
90212-1901
US

IV. Provider business mailing address

1020 N SPAULDING AVE
WEST HOLLYWOOD CA
90046-6267
US

V. Phone/Fax

Practice location:
  • Phone: 424-287-7738
  • Fax:
Mailing address:
  • Phone: 323-316-7248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number130389
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: