Provider Demographics
NPI:1164502969
Name:TARLOW, ANN R (MFT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:R
Last Name:TARLOW
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24023 PASALA CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3305
Mailing Address - Country:US
Mailing Address - Phone:661-255-3595
Mailing Address - Fax:661-287-4201
Practice Address - Street 1:24023 PASALA CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3305
Practice Address - Country:US
Practice Address - Phone:661-255-3595
Practice Address - Fax:661-287-4201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health