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NPI Code Detail

MEDICARE: AMY PADNICK LMFT

MEDICARE:   AMY  PADNICK  LMFT
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 35182CA

General Provider Information

NPI Number : 1831492362
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY PADNICK LMFT
Provider Business Mailing Address
First Line : 2281 PARNELL AVE
Second Line : SUITE 1
City : LOS ANGELES
State : CA
Zip : 90064-2004
Country : US
Telephone Number : 310-475-6354
Fax Number : 310-475-6354
Provider Business Practice Location Address
First Line : 2281 PARNELL AVE
Second Line : SUITE 1
City : LOS ANGELES
State : CA
Zip : 90064-2004
Country : US
Telephone Number : 310-475-6354
Fax Number : 310-475-6354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2010
Last Update Date : 12/05/2010

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Directions to “ AMY PADNICK LMFT” Practice Location

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