Healthcare Provider Details

I. General information

NPI: 1528201860
Provider Name (Legal Business Name): TERESE MARIE FORSTER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERESE MARIE SCHEICK LMFT

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E WALNUT ST STE 110
PASADENA CA
91106-1877
US

IV. Provider business mailing address

1250 E WALNUT ST STE 110
PASADENA CA
91106-1877
US

V. Phone/Fax

Practice location:
  • Phone: 626-921-6163
  • Fax:
Mailing address:
  • Phone: 626-921-6163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number53069
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: