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Provider Information for 1013764265


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Ms. LAURENTARA WEINMAN LMFT


Sex: Female

NPI: 1013764265
Last Updated: 2024-05-06
Certification Date: 2024-05-05

Details

NameValue
NPI1013764265
Enumeration Date2024-05-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 22832 STRATHERN ST
WEST HILLS, CA 91304-3644
United States

Phone: 818-220-1509 | Fax:
 
Primary Practice Address 11145 TAMPA AVE STE 27A
PORTER RANCH, CA 91326-2274
United States

Phone: 818-220-1509 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
106H00000X - Marriage & Family Therapist
CALMFT146164