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NPI Code Detail

MEDICARE: WINSLOW FAMILY THERAPY

MEDICARE: WINSLOW FAMILY THERAPY
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 TherapistLMFT80007CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083034599OTHERCAINDIVIDUAL NPI

General Provider Information

NPI Number : 1710429055
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINSLOW FAMILY THERAPY
Provider Business Mailing Address
First Line : 7427 EL MANOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-1348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7427 EL MANOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-1348
Country : US
Telephone Number : 310-408-9659
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : KRISTEN BRANCH WINSLOW
Credential : LMFT
Telephone Number : 310-408-9659
Provider Enumeration Date : 11/16/2016
Last Update Date : 11/16/2016

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Directions to “WINSLOW FAMILY THERAPY ” Practice Location

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