Orly Marmur Psychological Corp | |
5361 Veloz Ave Tarzana CA 91356-4127 | |
(818) 231-0008 | |
(818) 401-9903 |
Full Name | Orly Marmur Psychological Corp |
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Speciality | Psychologist |
Location | 5361 Veloz Ave, Tarzana, California |
Authorized Official Name and Position | Orly Marmur (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 8182310008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Orly Marmur Psychological Corp 5361 Veloz Ave Tarzana CA 91356-4127 Ph: (818) 231-0008 | Orly Marmur Psychological Corp 5361 Veloz Ave Tarzana CA 91356-4127 Ph: (818) 231-0008 |
NPI Number | 1457712085 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 05/02/2016 |
Medicare PECOS PAC ID | 7416247747 |
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Medicare Enrollment ID | O20160527001276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457712085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY27553 (California) | Primary |
Provider Name | Orly Marmur |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366646085 PECOS PAC ID: 5799094868 Enrollment ID: I20151013000581 |
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