Provider Demographics
NPI:1437233178
Name:NOTARI, MARY ANN (MFT)
Entity Type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:
Last Name:NOTARI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2401 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE #204
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254
Mailing Address - Country:US
Mailing Address - Phone:310-379-5336
Mailing Address - Fax:310-379-5420
Practice Address - Street 1:2401 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254
Practice Address - Country:US
Practice Address - Phone:310-379-5336
Practice Address - Fax:310-379-5420
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMFT13467103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist