Provider Demographics
NPI:1235807918
Name:DAGLEY FLAHERTY, JUDITH ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANNE
Last Name:DAGLEY FLAHERTY
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 1:3235 SAWTELLE BOULEVARD
Mailing Address - Street 2:UNIT 7
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1683
Mailing Address - Country:US
Mailing Address - Phone:310-995-6767
Mailing Address - Fax:
Practice Address - Street 1:3235 SAWTELLE BOULEVARD
Practice Address - Street 2:UNIT 7
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1683
Practice Address - Country:US
Practice Address - Phone:310-995-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT33885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health