Provider Demographics
NPI:1245672864
Name:SYNOWIEC, DARYL CHRISTINE HEATER (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DARYL
Middle Name:CHRISTINE HEATER
Last Name:SYNOWIEC
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 1:13244 BLOOMFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3208
Mailing Address - Country:US
Mailing Address - Phone:310-560-5943
Mailing Address - Fax:
Practice Address - Street 1:13244 BLOOMFIELD ST
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3208
Practice Address - Country:US
Practice Address - Phone:310-560-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist