Provider Demographics
NPI:1639407646
Name:SKLAR, MAUREEN CECILIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:CECILIA
Last Name:SKLAR
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 1:10200 SEPULVEDA BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2654
Mailing Address - Country:US
Mailing Address - Phone:818-672-6338
Mailing Address - Fax:818-698-6555
Practice Address - Street 1:10200 SEPULVEDA BLVD STE 180
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2654
Practice Address - Country:US
Practice Address - Phone:661-312-9255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist