Provider Demographics
NPI:1285837286
Name:FERMAN, SARAH ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:FERMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:GOLDBERG-FERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:15720 VENTURA BLVD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2914
Mailing Address - Country:US
Mailing Address - Phone:818-501-8996
Mailing Address - Fax:866-630-4259
Practice Address - Street 1:15720 VENTURA BLVD
Practice Address - Street 2:SUITE 503
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2914
Practice Address - Country:US
Practice Address - Phone:818-501-8996
Practice Address - Fax:866-630-4259
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35570106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC35570OtherLICENSE