Provider Demographics
NPI:1285040550
Name:ASD CONSULTANCY
Entity Type:Organization
Organization Name:ASD CONSULTANCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:562-298-0603
Mailing Address - Street 1:13112 HADLEY ST
Mailing Address - Street 2:STE. 107
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4529
Mailing Address - Country:US
Mailing Address - Phone:562-789-4273
Mailing Address - Fax:562-789-4270
Practice Address - Street 1:13112 HADLEY ST
Practice Address - Street 2:STE. 107
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4529
Practice Address - Country:US
Practice Address - Phone:562-789-4273
Practice Address - Fax:562-789-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty