Provider Demographics
NPI:1922340843
Name:NUOFFER, MAJA
Entity Type:Individual
Prefix:
First Name:MAJA
Middle Name:
Last Name:NUOFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14156 MAGNOLIA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1182
Mailing Address - Country:US
Mailing Address - Phone:818-624-1362
Mailing Address - Fax:818-964-0574
Practice Address - Street 1:14156 MAGNOLIA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-1182
Practice Address - Country:US
Practice Address - Phone:818-624-1362
Practice Address - Fax:818-964-0574
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 91159106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist