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1366151995
DEREK MATTHEW NOVACEK
LOS ANGELES, CA
NPI
1366151995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IA 114340)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
Dr. DEREK MATTHEW NOVACEK PhD
351 E TEMPLE ST
LOS ANGELES, CA 90012-3328
Phone number: 213-253-2677
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Mailing Address
Dr. DEREK MATTHEW NOVACEK PhD
18615 E ARROW HWY APT 228
COVINA, CA 91722-1836
Phone number:
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