Provider Demographics
NPI:1932643244
Name:FINBERG, LAURIE (LMFT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:FINBERG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4721 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3936
Mailing Address - Country:US
Mailing Address - Phone:323-388-5384
Mailing Address - Fax:
Practice Address - Street 1:4721 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91607-3936
Practice Address - Country:US
Practice Address - Phone:323-388-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82185106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist