Provider Demographics
NPI:1508154378
Name:HAMETH, TERIKA YVETTE (ASW)
Entity Type:Individual
Prefix:
First Name:TERIKA
Middle Name:YVETTE
Last Name:HAMETH
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19700 S VERMONT AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1100
Mailing Address - Country:US
Mailing Address - Phone:213-385-5100
Mailing Address - Fax:213-252-5870
Practice Address - Street 1:19700 S VERMONT AVE
Practice Address - Street 2:STE 250
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1100
Practice Address - Country:US
Practice Address - Phone:213-385-5100
Practice Address - Fax:213-252-5870
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26163101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health