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NPI Code Detail

MEDICARE: MR. CHRISTOPHER T HARRIOTT LMFT, MA, MS, PPS

MEDICARE: MR. CHRISTOPHER T HARRIOTT LMFT, MA, MS, PPS
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 Therapist53530CA
2106H00000XMarriage & Family Therapist63660CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL
295-2633765OTHERCAMEDICAL

General Provider Information

NPI Number : 1205133808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER T HARRIOTT LMFT, MA, MS, PPS
Provider Business Mailing Address
First Line : 10526 DUBNOFF WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91343
Country : US
Telephone Number : 818-892-3423
Fax Number : 818-893-4509
Provider Business Practice Location Address
First Line : 10526 DUBNOFF WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3921
Country : US
Telephone Number : 818-775-4950
Fax Number : 818-752-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2011
Last Update Date : 07/21/2022

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