Provider Demographics
NPI:1700196326
Name:DE GARMO, CLAUDIA (MFT)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:DE GARMO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21220 DE LA GUERRA ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2038
Mailing Address - Country:US
Mailing Address - Phone:310-351-2251
Mailing Address - Fax:
Practice Address - Street 1:12456 VENTURA BLVD STE 1
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2484
Practice Address - Country:US
Practice Address - Phone:310-351-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-16
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT43083106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist