Doctor Name: | MS. ANYA KAUFMAN |
NPI Number: | 1083978449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS21915 |
Business Practice Address: | 6433 Ponce Ave West Hills, CA - 913073617 |
Business Phone Number: | 8183046419 |
Business Fax Number: | |
Mailing Address: | 5650 Topeka Dr, TARZANA |
State: | CA |
Postal Code: | 913561314 |
Phone Number: | 8183046419 |
Fax Number: | 8187087437 |
NPI Enumeration Date: | 06/30/2012 |
NPI Last Update Date: | 07/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS21915 |
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 |