Provider Demographics
NPI:1265151310
Name:ANGELA YEPREMIAN, MARRIAGE AND FAMILY THERAPY, PROF. CORP.
Entity type:Organization
Organization Name:ANGELA YEPREMIAN, MARRIAGE AND FAMILY THERAPY, PROF. CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEPREMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-793-8941
Mailing Address - Street 1:7068 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1520 W GLENOAKS BLVD STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-7402
Practice Address - Country:US
Practice Address - Phone:818-945-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty