Doctor Name: | DR. SANDRA SUE KAGAN |
NPI Number: | 1982775532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | MFT067730 |
Business Practice Address: | 4821 Beeman Ave Valley Village, CA - 916073402 |
Business Phone Number: | 8187897575 |
Business Fax Number: | 8187614449 |
Mailing Address: | 12400 Ventura Blvd, 641 STUDIO CITY |
State: | CA |
Postal Code: | 916042406 |
Phone Number: | 8187897575 |
Fax Number: | 8187614449 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MFT067730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |