Provider Demographics
NPI:1538516976
Name:MASSMAN, CHRIS (LMFT, CDS)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:MASSMAN
Suffix:
Gender:F
Credentials:LMFT, CDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 4518
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91308
Mailing Address - Country:US
Mailing Address - Phone:818-264-9684
Mailing Address - Fax:
Practice Address - Street 1:5242 DARRO ROAD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-264-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist