Clinic For Assessments And Needs Of Developmentally Delayed Individual

NPI 1134423858 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1134423858
Enumeration Date 01/10/2011
Last Updated 01/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JENNIFER MARIE JENNIFER
Position OWNER/MARRIAGE AND FAMILY THERAPIST
Phone (424) 259-2565
Fax
Practice Location
4519 ADMIRALTY WAY
SUITE C
MARINA DEL REY CA, 90292-5441, US
Phone (424) 259-2565
Fax
Business Location
4519 ADMIRALTY WAY
SUITE C
MARINA DEL REY CA, 90292-5441, US
Phone (424) 259-2565
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 47315
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According to our database, Clinic For Assessments And Needs Of Developmentally Delayed Individual NPI is 1134423858, taxonomy code is 106H00000X and license number is MFC 47315, license state is located at California. Clinic For Assessments And Needs Of Developmentally Delayed Individual physically located at 4519 Admiralty Way, Marina Del Rey CA, 90292-5441. NPI Number 1033115704 has the healthcare provider type.

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1134423858 NPI number is provided on an as is basis without warranty of any kind. 1134423858 is maintained by the National Plan & Provider Enumeration System. The contents of Clinic For Assessments And Needs Of Developmentally Delayed Individual are for informational purposes only.