Provider Demographics
NPI:1548584758
Name:FRAMER, MORY B (PHD)
Entity Type:Individual
Prefix:DR
First Name:MORY
Middle Name:B
Last Name:FRAMER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 MOTOR AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-5748
Mailing Address - Country:US
Mailing Address - Phone:310-837-2444
Mailing Address - Fax:310-837-5332
Practice Address - Street 1:3611 MOTOR AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5748
Practice Address - Country:US
Practice Address - Phone:310-837-2444
Practice Address - Fax:310-837-5332
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11320103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist