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NPI Code Detail

MEDICARE: ANNA LITWAK M.A.

MEDICARE:   ANNA  LITWAK  M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist86683CA

General Provider Information

NPI Number : 1093146334
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA LITWAK M.A.
Provider Business Mailing Address
First Line : 5560 OVERLAND AVE
Second Line : SUITE 130
City : SAN DIEGO
State : CA
Zip : 92123-1204
Country : US
Telephone Number : 858-694-3500
Fax Number : 858-495-5127
Provider Business Practice Location Address
First Line : 5560 OVERLAND AVE
Second Line : SUITE 130
City : SAN DIEGO
State : CA
Zip : 92123-1204
Country : US
Telephone Number : 858-694-3500
Fax Number : 858-495-5127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 09/18/2015

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Directions to “ ANNA LITWAK M.A.” Practice Location

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