Provider Demographics
NPI:1821128026
Name:HURWITZ, DAVID MARK (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MARK
Last Name:HURWITZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5743 CORSA AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6451
Mailing Address - Country:US
Mailing Address - Phone:818-754-8625
Mailing Address - Fax:
Practice Address - Street 1:5743 CORSA AVE STE 221
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6451
Practice Address - Country:US
Practice Address - Phone:818-754-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist