Provider Demographics
NPI:1235589615
Name:SEDLEY, DEBRA P (MFTI)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:P
Last Name:SEDLEY
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 PARK OLIVO
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1733
Mailing Address - Country:US
Mailing Address - Phone:818-431-0250
Mailing Address - Fax:
Practice Address - Street 1:4718 PARK OLIVO
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1733
Practice Address - Country:US
Practice Address - Phone:818-431-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73490106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist