Provider Demographics
NPI:1720007297
Name:CUMMINGS, SYLVIA BEATRIZ (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:BEATRIZ
Last Name:CUMMINGS
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 1:3331 PATRICIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4823
Mailing Address - Country:US
Mailing Address - Phone:310-922-0840
Mailing Address - Fax:310-839-7233
Practice Address - Street 1:291 S LA CIENEGA BLVD
Practice Address - Street 2:SUITE NUMBER 401
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3325
Practice Address - Country:US
Practice Address - Phone:310-922-0840
Practice Address - Fax:310-839-7233
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist