Provider Demographics
NPI:1366646085
Name:MARMUR, ORLY (MFT)
Entity Type:Individual
Prefix:DR
First Name:ORLY
Middle Name:
Last Name:MARMUR
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 COLBATH AVE APT 32
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3527
Mailing Address - Country:US
Mailing Address - Phone:818-231-0008
Mailing Address - Fax:818-986-9531
Practice Address - Street 1:4433 COLBATH AVE APT 32
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3527
Practice Address - Country:US
Practice Address - Phone:818-231-0008
Practice Address - Fax:818-986-9531
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist