MEDICARE: DR. HOWARD F. KAMLER PH.D., 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	103TP0814X	Psychoanalysis Psychologist	RP 84	CA

General Provider Information

NPI Number	:	1932237351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD F. KAMLER PH.D., PSY.D.

Provider Business Mailing Address
First Line	:	2627 HIGHLAND AVE
Second Line	:	#10
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-4458
Country	:	US
Telephone Number	:	310-535-3969
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 HIGHLAND AVE
Second Line	:	#10
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-4458
Country	:	US
Telephone Number	:	310-535-3969
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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