Provider Demographics
NPI:1093856684
Name:ALAN PEVAR & ASSOCIATES
Entity Type:Organization
Organization Name:ALAN PEVAR & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:PEVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:661-322-4000
Mailing Address - Street 1:1601 NEW STINE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-3696
Mailing Address - Country:US
Mailing Address - Phone:661-322-4000
Mailing Address - Fax:661-873-9314
Practice Address - Street 1:1601 NEW STINE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3696
Practice Address - Country:US
Practice Address - Phone:661-322-4000
Practice Address - Fax:661-873-9314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16538106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty