| Elizabeth Gould, Marriage & Family Therapist, Inc. | |
|
4170 Admiralty Way Suite 405 Marina Del Rey CA 90292-4618 | |
| (310) 578-5957 | |
| (310) 827-2294 |
| Full Name | Elizabeth Gould, Marriage & Family Therapist, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4170 Admiralty Way, Marina Del Rey, California |
| Authorized Official Name and Position | Elizabeth Gould (OWNER) |
| Authorized Official Contact | 3105785957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Gould, Marriage & Family Therapist, Inc. 4170 Admiralty Way Suite 405 Marina Del Rey CA 90292-4618 Ph: (310) 578-5957 | Elizabeth Gould, Marriage & Family Therapist, Inc. 4170 Admiralty Way Suite 405 Marina Del Rey CA 90292-4618 Ph: (310) 578-5957 |
| NPI Number | 1114115540 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114115540 | NPI | - | NPPES |
| 1306902754 | Other | CA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC32388 (California) | Primary |
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