Matthew Seth Polacheck PSY-D

NPI 1033317466 - Psychologist - 103T00000X

NPI Details
NPI 1033317466
Gender Male
Enumeration Date 07/06/2007
Last Updated 07/06/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
9911 W. PICO BLVD.
STE. 1480
LOS ANGELES CA, 90035, US
Phone (562) 225-4093
Fax (815) 717-7625
Business Location
1143 SIERRA ALTA WAY
LOS ANGELES CA, 90069, US
Phone (562) 225-4093
Fax (815) 717-7625
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY22442
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According to our database, Dr. Matthew Seth Polacheck PSY-D NPI is 1033317466, taxonomy code is 103T00000X and license number is PSY22442, license state is located at California. Matthew Seth Polacheck PSY-D physically located at 9911 W. Pico Blvd., Los Angeles CA, 90035. NPI Number Matthew Seth Polacheck PSY-D has the Individual type.

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1033317466 NPI number is provided on an as is basis without warranty of any kind. 1033317466 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Seth Polacheck PSY-D are for informational purposes only.