Holly Lynn Pedersen, MFT, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC37441 Issued in CA

Practice address

3737 Martin Luther King Jr Blvd Ste 612
Lynwood, CA 90262-3537

Phone

(310) 603-2795

Fax

(310) 928-0368

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700900024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072723",
            "telephone_number": "323-719-0959",
            "fax_number": "310-928-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 612",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623537",
            "telephone_number": "310-603-2795",
            "fax_number": "310-928-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "MFT, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratyusha Patlolla, MD
• Rosalind Natasha Paulk, ASW
• Eliazar Pavon Acosta, RN
• Karen Paz
• Adlena Pearson
• Pediatric and Family Medical Center (Eisner Pediatric and Family Medical Center)
• Tracy Flores Peeples, LCSW
• Drita I Peer
• Arturo Pelayo, MD
• Penelope Velasco MD

• Marriage & Family Therapist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.