Healthcare Provider Details

I. General information

NPI: 1306443155
Provider Name (Legal Business Name): JENNIFER TARM M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WESTWOOD PLAZA BOX 951556
LOS ANGELES CA
90095-3519
US

IV. Provider business mailing address

9041 HUBBARD ST
CULVER CITY CA
90232-2508
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-0768
  • Fax:
Mailing address:
  • Phone: 714-213-9335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number120236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: