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NPI Code Detail

MEDICARE: MS. PATRICIA LYNN SANDLER M.A., L.M.F.T.

MEDICARE: MS. PATRICIA LYNN SANDLER M.A., L.M.F.T.
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 TherapistMFC21823CA

General Provider Information

NPI Number : 1538292735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA LYNN SANDLER M.A., L.M.F.T.
Provider Business Mailing Address
First Line : 4160 GRAND VIEW BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-5214
Country : US
Telephone Number : 310-751-1151
Fax Number : 310-751-1111
Provider Business Practice Location Address
First Line : 4160 GRAND VIEW BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-5214
Country : US
Telephone Number : 310-751-1151
Fax Number : 310-751-1111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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