Provider Demographics
NPI:1659802437
Name:ARONSOHN, MARYANN
Entity Type:Individual
Prefix:MS
First Name:MARYANN
Middle Name:
Last Name:ARONSOHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARYANN
Other - Middle Name:
Other - Last Name:DENMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1910 HUNTINGTON DR. #15
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4812
Mailing Address - Country:US
Mailing Address - Phone:626-441-5131
Mailing Address - Fax:626-389-4121
Practice Address - Street 1:1910 HUNTINGTON DR. #15
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4812
Practice Address - Country:US
Practice Address - Phone:626-441-5131
Practice Address - Fax:626-389-4121
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#24791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist