Yasmin Abu-Dalu, MFTI

Individual provider Active NPI Marriage & Family Therapist · Encino, CA

NPI 1447430673 · NPPES record last updated Nov 5, 2007

Key facts

NPI
1447430673
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFTI 55418 (CA)
Practice address
4408 Medley PL
Encino, CA 91316-4343
Phone
(818) 317-1511
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFTI 55418CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTI 55418 CA Yes

Addresses

Primary practice location

4408 Medley PL
Encino, CA 91316-4343

Mailing address

4408 Medley PL
Encino, CA 91316-4343
Phone (818) 317-1511

Other providers in Encino, CA

All providers in Encino, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.