Healthcare Provider Details

I. General information

NPI: 1487594461
Provider Name (Legal Business Name): HT PSYCHOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 LIVERPOOL DR STE A114
CARDIFF BY THE SEA CA
92007-1843
US

IV. Provider business mailing address

135 LIVERPOOL DR STE A114
CARDIFF BY THE SEA CA
92007-1843
US

V. Phone/Fax

Practice location:
  • Phone: 424-326-3072
  • Fax:
Mailing address:
  • Phone: 424-326-3072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. HANNA TANNENBAUM
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: PSYD
Phone: 424-326-3072