MEDICARE: BRANDI MALIKA TURNER M.F.T.I.

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1669756433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI MALIKA TURNER M.F.T.I.

Provider Business Mailing Address
First Line	:	4401 W SLAUSON AVE STE 101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-2717
Country	:	US
Telephone Number	:	424-207-7847
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 W SLAUSON AVE STE 101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-2717
Country	:	US
Telephone Number	:	424-207-7847
Fax Number	:

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

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	09/28/2011

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