Provider Demographics
NPI:1417724915
Name:LEFFLER, BRITTANY ANN (MA, AMFT)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:ANN
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:MS
Other - First Name:BRITTA
Other - Middle Name:
Other - Last Name:LEFFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, AMFT
Mailing Address - Street 1:5323 MONTE VISTA ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-4074
Mailing Address - Country:US
Mailing Address - Phone:949-500-9384
Mailing Address - Fax:
Practice Address - Street 1:2001 S BARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5363
Practice Address - Country:US
Practice Address - Phone:949-500-9384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA137852106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist