Provider Demographics
NPI:1477111722
Name:WEBER, EUDICE RHODA (LMFT)
Entity Type:Individual
Prefix:
First Name:EUDICE
Middle Name:RHODA
Last Name:WEBER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RHODA
Other - Middle Name:E
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2438 CARMAN CREST DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-2603
Mailing Address - Country:US
Mailing Address - Phone:323-876-5835
Mailing Address - Fax:323-876-5835
Practice Address - Street 1:2438 CARMAN CREST DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-2603
Practice Address - Country:US
Practice Address - Phone:323-876-5835
Practice Address - Fax:323-876-5835
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-02
Last Update Date:2019-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT35953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist