Provider Demographics
NPI:1033264015
Name:PAEZ, EDUARDO ALFREDO III (LMFT)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ALFREDO
Last Name:PAEZ
Suffix:III
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19240 BEL AIR DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4712
Mailing Address - Country:US
Mailing Address - Phone:818-859-4941
Mailing Address - Fax:
Practice Address - Street 1:19240 BEL AIR DR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4712
Practice Address - Country:US
Practice Address - Phone:818-859-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist