Provider Demographics
NPI:1013982255
Name:TORMA, SUSAN WINTER (MFT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:WINTER
Last Name:TORMA
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 1:6741 TOWN VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1743
Mailing Address - Country:US
Mailing Address - Phone:619-583-6898
Mailing Address - Fax:
Practice Address - Street 1:6475 ALVARADO RD
Practice Address - Street 2:STE 233
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:619-229-2333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT14995106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist