Doctor Name: | DR. ALLEN ROY DARBONNIE |
NPI Number: | 1083838122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PSY3032 |
Business Practice Address: | 28990 Pacific Coast Hwy Ste 203 Malibu, CA - 902652968 |
Business Phone Number: | 3104567444 |
Business Fax Number: | 3104567444 |
Mailing Address: | 2900 Sea Ridge Drive, MALIBU |
State: | CA |
Postal Code: | 902652968 |
Phone Number: | 3104567444 |
Fax Number: | 3104567444 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY3032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |