Provider Demographics
NPI:1215013982
Name:NOLTY, ANNE ALLISON TURK (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ALLISON TURK
Last Name:NOLTY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:ALLISON
Other - Last Name:TURK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:675 N RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3436
Mailing Address - Country:US
Mailing Address - Phone:626-396-6019
Mailing Address - Fax:
Practice Address - Street 1:180 N OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1714
Practice Address - Country:US
Practice Address - Phone:626-396-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20143103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWCP20143AMedicare ID - Type Unspecified
Q56784Medicare UPIN