Provider Demographics
NPI:1790546893
Name:MURAO, MARI (PSYD, MFT)
Entity Type:Individual
Prefix:DR
First Name:MARI
Middle Name:
Last Name:MURAO
Suffix:
Gender:F
Credentials:PSYD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:TOPANGA
Mailing Address - State:CA
Mailing Address - Zip Code:90290-0341
Mailing Address - Country:US
Mailing Address - Phone:213-309-2078
Mailing Address - Fax:
Practice Address - Street 1:2215 N TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:TOPANGA
Practice Address - State:CA
Practice Address - Zip Code:90290-4312
Practice Address - Country:US
Practice Address - Phone:213-309-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT88929106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist