| Prysmatic Family Therapy, Inc. | |
|
1720 E Los Angeles Ave Ste 237 Simi Valley CA 93065-5829 | |
| (818) 743-6517 | |
| Not Available |
| Full Name | Prysmatic Family Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1720 E Los Angeles Ave Ste 237, Simi Valley, California |
| Authorized Official Name and Position | Prisma Martinez (OWNER/DIRECTOR) |
| Authorized Official Contact | 8187436517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prysmatic Family Therapy, Inc. Po Box 1716 Simi Valley CA 93062-1716 Ph: (818) 743-6517 | Prysmatic Family Therapy, Inc. 1720 E Los Angeles Ave Ste 237 Simi Valley CA 93065-5829 Ph: (818) 743-6517 |
| NPI Number | 1790482735 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790482735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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