MEDICARE: CATHERINE MEYERS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT149474	CA

General Provider Information

NPI Number	:	1023838208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MEYERS LMFT

Provider Business Mailing Address
First Line	:	606 N LARCHMONT BLVD STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1309
Country	:	US
Telephone Number	:	323-791-2145
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 N LARCHMONT BLVD STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1309
Country	:	US
Telephone Number	:	323-791-2145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/14/2024

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