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Provider Information for 1073134250


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SHEILA BRITTAIN


Sex: Female

NPI: 1073134250
Last Updated: 2020-04-29
Certification Date: 2020-04-29

Details

NameValue
NPI1073134250
Enumeration Date2020-04-29
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6709 LA TIJERA BLVD # 457
LOS ANGELES, CA 90045-2017
United States

Phone: 323-333-5332 | Fax:
 
Primary Practice Address 1436 1/2 S SIERRA BONITA AVE
LOS ANGELES, CA 90019-3965
United States

Phone: 323-333-5332 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT112877