MEDICARE: SNOW IN SUMMER PSYCHOTHERAPY

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1417546904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNOW IN SUMMER PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	740 S AVENUE 60
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-4307
Country	:	US
Telephone Number	:	818-641-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 S AVENUE 60
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-4307
Country	:	US
Telephone Number	:	818-641-8782
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANNAH LEVIN
Credential	:
Telephone Number	:	818-641-4872

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

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Directions to “SNOW IN SUMMER PSYCHOTHERAPY ” Practice Location

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