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General NPI Number Information
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NPI Number | 1871311084
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Entity Type | Organization
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Legal Business Name | ERIKA FORSYTH FAMILY THERAPY INC.
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 16 N MARENGO AVE STE 609
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City | PASADENA
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State | CA
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Zip | 91101-1978
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Country | US
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Telephone | 626-344-2263
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CAMBRIDGE RD
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City | SAN MARINO
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State | CA
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Zip | 91108-1906
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIKA FORSYTH
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Credential | LMFT
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Telephone | 626-344-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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