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NPI Code Detail

MEDICARE: MS. HALIE ELIZABETH MARTIN LMFT # 160907

MEDICARE: MS. HALIE ELIZABETH MARTIN LMFT # 160907
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 Therapist160907CA

General Provider Information

NPI Number : 1205644903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HALIE ELIZABETH MARTIN LMFT # 160907
Provider Business Mailing Address
First Line : 4511B MAMMOTH AVE
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-2916
Country : US
Telephone Number : 765-366-0248
Fax Number :
Provider Business Practice Location Address
First Line : 4511B MAMMOTH AVE
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-2916
Country : US
Telephone Number : 765-366-0248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2024
Last Update Date : 03/03/2026

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