Provider Demographics
NPI:1295941151
Name:NOVICK, ARI J (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:J
Last Name:NOVICK
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 3RD ST STE 4
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2376
Mailing Address - Country:US
Mailing Address - Phone:949-715-2694
Mailing Address - Fax:949-494-5456
Practice Address - Street 1:333 3RD ST STE 4
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2376
Practice Address - Country:US
Practice Address - Phone:949-715-2694
Practice Address - Fax:949-494-5456
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42962106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist