Provider Demographics
NPI:1407481427
Name:DEMETER, HANNAH NICOLE (LMFT)
Entity Type:Individual
Prefix:
First Name:HANNAH NICOLE
Middle Name:
Last Name:DEMETER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 BEVERLY BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4532
Mailing Address - Country:US
Mailing Address - Phone:818-839-0677
Mailing Address - Fax:
Practice Address - Street 1:8170 BEVERLY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4532
Practice Address - Country:US
Practice Address - Phone:818-839-0677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113550106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist