| Symphony Therapy | |
|
4804 Laurel Canyon Blvd Ste 329 Valley Village CA 91607-3717 | |
| (323) 841-4440 | |
| Not Available |
| Full Name | Symphony Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4804 Laurel Canyon Blvd Ste 329, Valley Village, California |
| Authorized Official Name and Position | Dmitriy Glizer (MANAGEMENT) |
| Authorized Official Contact | 3238414440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Symphony Therapy 4804 Laurel Canyon Blvd # 329 Valley Village CA 91607-3717 Ph: (323) 841-4440 | Symphony Therapy 4804 Laurel Canyon Blvd Ste 329 Valley Village CA 91607-3717 Ph: (323) 841-4440 |
| NPI Number | 1043097488 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 4486003266 |
|---|---|
| Medicare Enrollment ID | O20231211001563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043097488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mariya Libman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992488068 PECOS PAC ID: 5395194179 Enrollment ID: I20231211002272 |
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