Provider Demographics
NPI:1083745194
Name:COSKUN, AZIZE (LMFT)
Entity Type:Individual
Prefix:
First Name:AZIZE
Middle Name:
Last Name:COSKUN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36542 COPPER LN
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-8303
Mailing Address - Country:US
Mailing Address - Phone:310-647-7616
Mailing Address - Fax:
Practice Address - Street 1:848 W LANCASTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2347
Practice Address - Country:US
Practice Address - Phone:310-647-7616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49617106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty