Provider Demographics
NPI:1013937572
Name:TEPELMANN, KRISTIN (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:
Last Name:TEPELMANN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25350 MAGIC MOUNTAIN PKWY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1151
Mailing Address - Country:US
Mailing Address - Phone:818-675-5309
Mailing Address - Fax:
Practice Address - Street 1:25350 MAGIC MOUNTAIN PKWY
Practice Address - Street 2:SUITE 170
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1151
Practice Address - Country:US
Practice Address - Phone:818-675-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38839106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist