Provider Demographics
NPI:1558492611
Name:CHOWATTUKUNNEL, ANN T (MFT)
Entity Type:Individual
Prefix:MISS
First Name:ANN
Middle Name:T
Last Name:CHOWATTUKUNNEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:BINDU
Other - Middle Name:T
Other - Last Name:CHOWATTUKUNNEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:15305 RAYEN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-5117
Mailing Address - Country:US
Mailing Address - Phone:323-379-7356
Mailing Address - Fax:
Practice Address - Street 1:15305 RAYEN ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-5117
Practice Address - Country:US
Practice Address - Phone:818-892-3423
Practice Address - Fax:818-893-4509
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist