Provider Demographics
NPI:1639264294
Name:ROHDE, MARIA LOUISE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LOUISE
Last Name:ROHDE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 W AVENUE M14 STE B
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1434
Mailing Address - Country:US
Mailing Address - Phone:661-948-6168
Mailing Address - Fax:661-272-1902
Practice Address - Street 1:848 WEST LANCASTER BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-948-6168
Practice Address - Fax:661-533-1323
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28692101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health