Provider Demographics
NPI:1265589105
Name:WEXLER, KATHARINE (LMFT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:WEXLER
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 1:10866 ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3726
Mailing Address - Country:US
Mailing Address - Phone:310-838-6537
Mailing Address - Fax:
Practice Address - Street 1:5445 BALBOA BLVD
Practice Address - Street 2:PHILLIPS GRADUATE INSTITUTE
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1509
Practice Address - Country:US
Practice Address - Phone:818-386-5655
Practice Address - Fax:818-386-5699
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMH13662106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist