Provider Demographics
NPI:1356509350
Name:DURRSCHMIDT, ERIC (MA,MFT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:DURRSCHMIDT
Suffix:
Gender:M
Credentials:MA,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 E SUNNY DUNES RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-8196
Mailing Address - Country:US
Mailing Address - Phone:323-423-6667
Mailing Address - Fax:
Practice Address - Street 1:1137 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5086
Practice Address - Country:US
Practice Address - Phone:323-423-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist