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NPI Code Detail

MEDICARE: HENRIETTE BACKER LMFT

MEDICARE: HENRIETTE BACKER 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
1106H00000XMarriage & Family Therapist141079CA

General Provider Information

NPI Number : 1932037108
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRIETTE BACKER LMFT
Provider Business Mailing Address
First Line : 8117 W MANCHESTER AVE # 1211
Second Line :
City : PLAYA DEL REY
State : CA
Zip : 90293-8211
Country : US
Telephone Number : 310-418-7192
Fax Number :
Provider Business Practice Location Address
First Line : 8117 W MANCHESTER AVE # 1211
Second Line :
City : PLAYA DEL REY
State : CA
Zip : 90293-8211
Country : US
Telephone Number : 310-418-7192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2026
Last Update Date : 05/12/2026

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Directions to “ HENRIETTE BACKER LMFT” Practice Location

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