Provider Demographics
NPI:1326586827
Name:PERLMAN, PAULA (LMFT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:PERLMAN WOLF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1530 GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3416
Mailing Address - Country:US
Mailing Address - Phone:310-709-5473
Mailing Address - Fax:
Practice Address - Street 1:3301 OCEAN PARK BLVD
Practice Address - Street 2:109
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3227
Practice Address - Country:US
Practice Address - Phone:310-709-5473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23126106H00000X
CA436225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist