Doctor Name: | MOLLY ANN BARTOS |
NPI Number: | 1144350539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12450 Van Nuys Blvd Suite 200 Pacoima, CA - 913311391 |
Business Phone Number: | 8188961161 |
Business Fax Number: | 8188965069 |
Mailing Address: | 14135 Moorpark St, SHERMAN OAKS |
State: | CA |
Postal Code: | 914232724 |
Phone Number: | 8186052499 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/09/2007 |
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: |