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NPI Code Detail

MEDICARE: DR. ARI J NOVICK PH.D., LMFT

MEDICARE:  DR. ARI J NOVICK  PH.D., LMFT
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
1106H00000XMarriage & Family Therapist42962CA

General Provider Information

NPI Number : 1295941151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARI J NOVICK PH.D., LMFT
Provider Business Mailing Address
First Line : 333 3RD ST STE 4
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-2376
Country : US
Telephone Number : 949-715-2694
Fax Number : 949-494-5456
Provider Business Practice Location Address
First Line : 333 3RD ST STE 4
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-2376
Country : US
Telephone Number : 949-715-2694
Fax Number : 949-494-5456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 03/14/2018

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