MEDICARE: DR. FRANZISKA REFF PSYD

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
1	103TC2200X	Clinical Child & Adolescent Psychologist	34329	CA
2	103TF0000X	Family Psychologist	34329	CA
3	103TC0700X	Clinical Psychologist	34329	CA

General Provider Information

NPI Number	:	1285968529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANZISKA REFF PSYD

Provider Business Mailing Address
First Line	:	3401 GLENDALE BLVD STE B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1814
Country	:	US
Telephone Number	:	818-397-3863
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 GLENDALE BLVD STE B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1814
Country	:	US
Telephone Number	:	818-397-3863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	07/26/2023

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