Search › California › 103TC1900X

Tracey Boldemann-Tatkin, PHD, AMFT

NPI 1326916537 · on the registry since 2025

Practice

Address: 28632 Roadside Dr Ste 143
Agoura Hills, CA 91301
Phone: (818) 300-7826
Organisation at this address: Matian Dental Partners
Agoura Neurofeedback, Inc.
Agoura Behavioral Health Llc
Numen Behavioral Health, Llc
Kessler & Resnick Dental Design
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 103TC1900X
103TC1900X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California