Doctor Name: | SAMANTHA LYTTLE |
NPI Number: | 1003067620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 63765 |
Business Practice Address: | 2370 W Carson St #235 Torrance, CA - 905013100 |
Business Phone Number: | 3109512748 |
Business Fax Number: | |
Mailing Address: | 2370 W Carson St, #235 TORRANCE |
State: | CA |
Postal Code: | 905013100 |
Phone Number: | 3109512748 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 63765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |