Provider Demographics
NPI:1710616529
Name:CHAUSOVSKAYA, NATALI L
Entity Type:Individual
Prefix:
First Name:NATALI
Middle Name:L
Last Name:CHAUSOVSKAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 S MUIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-3040
Mailing Address - Country:US
Mailing Address - Phone:520-269-9031
Mailing Address - Fax:
Practice Address - Street 1:1205 S MUIRFIELD RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-3040
Practice Address - Country:US
Practice Address - Phone:520-269-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist