Molly Renee Lyda M.A.

NPI 1679777502 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1679777502
Gender Female
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14140 VENTURA BLVD STE 206
SHERMAN OAKS CA, 91423-2750, US
Phone (818) 671-8953
Fax
Business Location
4335 VAN NUYS BLVD # 172
SHERMAN OAKS CA, 91403-3727, US
Phone (818) 671-8953
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 51060
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According to our database, Molly Renee Lyda M.A. NPI is 1679777502, taxonomy code is 106H00000X and license number is 51060, license state is located at California. Molly Renee Lyda M.A. physically located at 14140 Ventura Blvd Ste 206, Sherman Oaks CA, 91423-2750. NPI Number Molly Renee Lyda M.A. has the Individual type.

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1679777502 NPI number is provided on an as is basis without warranty of any kind. 1679777502 is maintained by the National Plan & Provider Enumeration System. The contents of Molly Renee Lyda M.A. are for informational purposes only.