Doctor Name: | MYA YVETTE LITTLE |
NPI Number: | 1003948902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 14660 Oxnard St Van Nuys, CA - 914113119 |
Business Phone Number: | 8189014836 |
Business Fax Number: | 8183760044 |
Mailing Address: | 4950 Coldwater Canyon Ave, #6 SHERMAN OAKS |
State: | CA |
Postal Code: | 914232279 |
Phone Number: | 8189151985 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |