MEDICARE: MS. MARTHA SIMPSON LMFT, CSAT

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	LMFT53490	CA

General Provider Information

NPI Number	:	1447688205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARTHA SIMPSON LMFT, CSAT

Provider Business Mailing Address
First Line	:	22221 KITTRIDGE ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91303-2448
Country	:	US
Telephone Number	:	310-344-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 S ROBERTSON BLVD
Second Line	:	STE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1639
Country	:	US
Telephone Number	:	310-740-5442
Fax Number	:

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

Provider Enumeration Date	:	10/14/2013
Last Update Date	:	04/17/2024

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