Healthcare Provider Details

I. General information

NPI: 1962600247
Provider Name (Legal Business Name): HELENE MICHELLE HARMATZ MSW,PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 IMPERIAL HWY SUITE A 206
DOWNEY CA
90242-2814
US

IV. Provider business mailing address

9449 IMPERIAL HWY SUITE A 206
DOWNEY CA
90242-2814
US

V. Phone/Fax

Practice location:
  • Phone: 562-657-2010
  • Fax:
Mailing address:
  • Phone: 562-657-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: