Healthcare Provider Details

I. General information

NPI: 1508154378
Provider Name (Legal Business Name): TERIKA YVETTE HAMETH ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19700 S VERMONT AVE STE 250
TORRANCE CA
90502-1100
US

IV. Provider business mailing address

19700 S VERMONT AVE STE 250
TORRANCE CA
90502-1100
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-5100
  • Fax: 213-252-5870
Mailing address:
  • Phone: 213-385-5100
  • Fax: 213-252-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: