Healthcare Provider Details

I. General information

NPI: 1245364322
Provider Name (Legal Business Name): ARELLA LYDIA KARSPECK M.F.T.I.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 VAN NUYS BLVD SUITE 100
PACOIMA CA
91331-1391
US

IV. Provider business mailing address

512 S EUCLID AVE UNIT # 6
PASADENA CA
91101-3264
US

V. Phone/Fax

Practice location:
  • Phone: 818-896-8366
  • Fax: 818-896-8392
Mailing address:
  • Phone: 626-354-2584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: