Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY10347 | CA |
N | 103T00000X | Psychologist | PSY10347 | CA |
N | 102L00000X | Psychologist | PSY10347 | CA |
N | 103T00000X | Psychologist | PSY10347 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY10347 | CA |
N | 103G00000X | Clinical Psychologist | PSY10347 | CA |
N | 103TC0700X | Clinical Psychologist | PSY10347 | CA |
N | 103TC1900X | Counseling Psychologist | PSY10347 | CA |
N | 103TF0000X | Family Psychologist | PSY10347 | CA |
N | 103TF0200X | Forensic Psychologist | PSY10347 | CA |
N | 103TP0814X | Psychoanalysis | PSY10347 | CA |
N | 103TP2701X | Group Psychotherapist | PSY10347 | CA |
NPI | 1023234770 |
---|---|
Provider Name | Dr. Alan Michael Karbelnig |
First Address | South Pasadena, CA 91030-2630 |
Second Address | South Pasadena, CA 91030-2630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |