Healthcare Provider Details

I. General information

NPI: 1144538752
Provider Name (Legal Business Name): ANN VICTORIA SAXON M.A., PH.D., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 RIVERSIDE DR SUITE 11
TOLUCA LAKE CA
91602-2537
US

IV. Provider business mailing address

10000 RIVERSIDE DR SUITE 11
TOLUCA LAKE CA
91602-2537
US

V. Phone/Fax

Practice location:
  • Phone: 818-640-3789
  • Fax:
Mailing address:
  • Phone: 818-640-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number48046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: