Provider Demographics
NPI:1467879874
Name:TOUMANOFF, NINA (MA)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:TOUMANOFF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E ALISO ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-4608
Mailing Address - Country:US
Mailing Address - Phone:805-794-8811
Mailing Address - Fax:
Practice Address - Street 1:309 E ALISO ST UNIT 1
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-4608
Practice Address - Country:US
Practice Address - Phone:805-794-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist