Provider Demographics
NPI:1245577584
Name:BROHNER-SCHNEIDER, MELISSA (MFT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BROHNER-SCHNEIDER
Suffix:
Gender:F
Credentials:MFT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13749 RIVERSIDE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2415
Mailing Address - Country:US
Mailing Address - Phone:818-605-5506
Mailing Address - Fax:818-981-7789
Practice Address - Street 1:13749 RIVERSIDE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2415
Practice Address - Country:US
Practice Address - Phone:818-605-5506
Practice Address - Fax:818-981-7789
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT36115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist