Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL UDO D'AGOSTIN, PSYD
Active Sole ProprietorMR. MICHAEL UDO D'AGOSTIN, PSYD is a Counseling Psychologist healthcare provider located in TARZANA, California. NPI 1851424345 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · TARZANA, CA
Registration Details
- NPI Number
- 1851424345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.457981281357 yrs)
- Last Updated
- Jul 29, 2011
- Licenses
-
A3555189 (CA)PSY24187 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18646 OXNARD STTARZANA, CA, 913561411Browse CA providers · Browse ZIP 91356
- Phone
- 8186543845
- Fax
- 8183456402
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.