| Doctor Name: | AMY CASSOFF TORN |
| NPI Number: | 1508045220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT |
| License Number: | MFC44895 |
| Business Practice Address: | 180 Otay Lakes Rd Suite #110 Bonita, CA - 919022443 |
| Business Phone Number: | 8582791223 |
| Business Fax Number: | 6195164757 |
| Mailing Address: | 4550 Kearny Villa Rd, Suite 116 SAN DIEGO |
| State: | CA |
| Postal Code: | 921231578 |
| Phone Number: | 8582791223 |
| Fax Number: | 6195164757 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC44895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |