| Doctor Name: | MS. ELIZABETH MARGARITA REYES |
| NPI Number: | 1063582716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS23134 |
| Business Practice Address: | 10605 Balboa Blvd Suite 100 Granada Hills, CA - 913446342 |
| Business Phone Number: | 8188322400 |
| Business Fax Number: | |
| Mailing Address: | Po Box 920871, SYLMAR |
| State: | CA |
| Postal Code: | 913920871 |
| Phone Number: | 8188322400 |
| Fax Number: | 8188322567 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS23134 |
| 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 |