Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Marvin Nowack

Individual provider Psychologist · NPI 1306783675

Dr. Kenneth Marvin Nowack is a Psychologist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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Practice location Address checks out

2621 6th St Apt 2
Santa Monica, CA 90405-4432
Phone: (310) 721-2918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY13758 (CA)

Record details

NPI number1306783675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 3, 2026

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