Provider Demographics
NPI:1114634896
Name:UHL, MARTHA (LMFT)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:UHL
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 1:12725 VENTURA BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2437
Mailing Address - Country:US
Mailing Address - Phone:310-985-9719
Mailing Address - Fax:
Practice Address - Street 1:12725 VENTURA BLVD STE I
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2437
Practice Address - Country:US
Practice Address - Phone:310-985-9719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist