Provider Demographics
NPI:1902825581
Name:KURMAN, DEBORAH GAIL (MFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:GAIL
Last Name:KURMAN
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 1:10350 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE NO. 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5055
Mailing Address - Country:US
Mailing Address - Phone:310-712-5753
Mailing Address - Fax:
Practice Address - Street 1:10350 SANTA MONICA BLVD
Practice Address - Street 2:SUITE NO. 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5055
Practice Address - Country:US
Practice Address - Phone:310-712-5753
Practice Address - Fax:
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
CAMFC 36829106H00000X
CAMFC36829106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist