MEDICARE: AMY RODRIGUEZ 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	156459	CA

General Provider Information

NPI Number	:	1568174944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY RODRIGUEZ LMFT

Provider Business Mailing Address
First Line	:	1308 E COLORADO BLVD UNIT 3439
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1932
Country	:	US
Telephone Number	:	626-503-2585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 E WALNUT ST STE 260
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1800
Country	:	US
Telephone Number	:	626-415-0420
Fax Number	:

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

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	12/04/2025

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Directions to “ AMY RODRIGUEZ LMFT” Practice Location

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