MEDICARE: MS. ANITA MICHELA FRANKEL M.A., M.F.T.

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	MFC28409	CA

General Provider Information

NPI Number	:	1396729497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANITA MICHELA FRANKEL M.A., M.F.T.

Provider Business Mailing Address
First Line	:	1741 SILVER LAKE BLVD
Second Line	:	SUITE 2A
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1256
Country	:	US
Telephone Number	:	323-661-0297
Fax Number	:	323-665-1058

Provider Business Practice Location Address
First Line	:	1741 SILVER LAKE BLVD
Second Line	:	SUITE 2A
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1256
Country	:	US
Telephone Number	:	323-661-0297
Fax Number	:	323-665-1058

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	07/08/2007

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