| Nicole Mevorak | |
|
11712 Moorpark St Suite 114 Studio City CA 91604-2154 | |
| (818) 400-7311 | |
| Not Available |
| Full Name | Nicole Mevorak |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11712 Moorpark St, Studio City, California |
| Authorized Official Name and Position | Nicole Davina Mevorak (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 8184007311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mevorak 11712 Moorpark St Suite 114 Studio City CA 91604-2154 Ph: (818) 400-7311 | Nicole Mevorak 11712 Moorpark St Suite 114 Studio City CA 91604-2154 Ph: (818) 400-7311 |
| NPI Number | 1801211404 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801211404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 52895 (California) | Primary |
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