Doctor Name: | MRS. MERCY HEMA MATHEW |
NPI Number: | 1043556178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., P.P.S |
License Number: | |
Business Practice Address: | 6303 Owensmouth Ave. Fi 10 Directed Specialized Services Llc Woodland Hills, CA - 91367 |
Business Phone Number: | 3233911622 |
Business Fax Number: | 3233911622 |
Mailing Address: | 6303 Owensmouth Ave. Fi 10, Directed Specialized Services Llc WOODLAND HILLS |
State: | CA |
Postal Code: | 91367 |
Phone Number: | 3233911622 |
Fax Number: | 3233911622 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |