Provider Demographics
NPI:1598895773
Name:SAWLSVILLE, BRYAN (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:
Last Name:SAWLSVILLE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7219
Mailing Address - Country:US
Mailing Address - Phone:310-200-9075
Mailing Address - Fax:
Practice Address - Street 1:7725 LEEDS ST
Practice Address - Street 2:RTP-D
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:310-200-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC# 44505106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist