Individual provider · Type 1 NPI

Matthew Maibaum, PhD

Psychologist · Los Angeles, CA

NPI number 1609979277 Active

Practice location

1711 W Temple St, Suite 4100
Los Angeles, CA 90026-5421

Call (213) 739-0019 Map

Fax (213) 739-0091

Mailing address

3435 Wilshire Blvd Ste 2700-80, Suite 930
Los Angeles, CA 90010-1901

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY7352 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1609979277

Matthew Maibaum, PhD's National Provider Identifier is 1609979277, issued on Sep 7, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 3, 2016.