Provider Demographics
NPI:1477561835
Name:LAPIDUS, JOELLEN (MFT, PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOELLEN
Middle Name:
Last Name:LAPIDUS
Suffix:
Gender:F
Credentials:MFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 1/2 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8413
Mailing Address - Country:US
Mailing Address - Phone:310-474-1123
Mailing Address - Fax:310-475-8622
Practice Address - Street 1:1923 1/2 WESTWOOD BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8413
Practice Address - Country:US
Practice Address - Phone:310-474-1123
Practice Address - Fax:310-475-8622
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT24510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist