Doctor Name: | MS. GAYLE ANN BROHNER |
NPI Number: | 1003182742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | 22086 |
Business Practice Address: | 13448 Albers St Sherman Oaks, CA - 914015320 |
Business Phone Number: | 8187803580 |
Business Fax Number: | 8187802762 |
Mailing Address: | 13448 Albers St, SHERMAN OAKS |
State: | CA |
Postal Code: | 914015320 |
Phone Number: | 8187803580 |
Fax Number: | 8187802762 |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 22086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |