Provider Demographics
NPI:1821207218
Name:WEST, GAYLE KERA (PSYD MFT)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:KERA
Last Name:WEST
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 1:9525 W OLYMPIC BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4241
Mailing Address - Country:US
Mailing Address - Phone:310-284-8065
Mailing Address - Fax:310-284-8138
Practice Address - Street 1:9525 W OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4241
Practice Address - Country:US
Practice Address - Phone:310-284-8065
Practice Address - Fax:310-284-8138
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28807106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist