Dr Mary Theresa Dousette, PHD MFT is a
Marriage & Family Therapist based in Toluca Lake, California. Dr Mary Theresa Dousette is licensed to practice in California (license number MK22157) and her current practice location is
4507 Auckland Ave, Toluca Lake, California. She can be reached at her office (for appointments etc.) via phone at
(818) 980-0202.
NPI number for Dr Mary Theresa Dousette is 1912119876 and her current mailing address is 4507 Auckland Ave, Toluca Lake, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912119876.
Healthcare Provider's Profile
Full Name | Dr Mary Theresa Dousette |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4507 Auckland Ave, Toluca Lake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912119876
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Theresa Dousette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912119876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY18158 (California) | Primary |
106H00000X | Marriage & Family Therapist | MK22157 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Theresa Dousette is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mary Theresa Dousette, PHD MFT 4507 Auckland Ave, Toluca Lake, CA 91602 Ph: (818) 980-0202 | Dr Mary Theresa Dousette, PHD MFT 4507 Auckland Ave, Toluca Lake, CA 91602 Ph: (818) 980-0202 |
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