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NPI Code Detail

MEDICARE: MS. RHODA LEYA PREGERSON MA MFT

MEDICARE:  MS. RHODA LEYA PREGERSON  MA MFT
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 TherapistMFT 24611CA

General Provider Information

NPI Number : 1760684849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHODA LEYA PREGERSON MA MFT
Provider Business Mailing Address
First Line : 3620 BARRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066
Country : US
Telephone Number : 310-391-2235
Fax Number : 310-397-3278
Provider Business Practice Location Address
First Line : 3620 BARRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066
Country : US
Telephone Number : 310-391-2235
Fax Number : 310-397-3278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 07/08/2007

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Directions to “ MS. RHODA LEYA PREGERSON MA MFT” Practice Location

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