Provider Demographics
NPI:1134406481
Name:HOSTEIN, LYNNE PATRICIA (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:PATRICIA
Last Name:HOSTEIN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6642 RESEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5313
Mailing Address - Country:US
Mailing Address - Phone:818-800-7284
Mailing Address - Fax:818-776-8903
Practice Address - Street 1:6642 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5313
Practice Address - Country:US
Practice Address - Phone:818-800-7284
Practice Address - Fax:818-776-8903
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health