Provider Demographics
NPI:1992032866
Name:TAYLOR-SPITZER, ANNE (MFT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:TAYLOR-SPITZER
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 1:1545 SAWTELLE BLVD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3200
Mailing Address - Country:US
Mailing Address - Phone:131-028-2717
Mailing Address - Fax:131-028-2717
Practice Address - Street 1:1545 SAWTELLE BLVD
Practice Address - Street 2:SUITE 25
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3200
Practice Address - Country:US
Practice Address - Phone:310-282-7171
Practice Address - Fax:310-282-7171
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT14978106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist