Provider Demographics
NPI:1649485806
Name:NEWHOUSE, JONI SUSAN (MFT)
Entity type:Individual
Prefix:MRS
First Name:JONI
Middle Name:SUSAN
Last Name:NEWHOUSE
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 1:21243 VENTURA BLVD
Mailing Address - Street 2:233
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2109
Mailing Address - Country:US
Mailing Address - Phone:818-999-5826
Mailing Address - Fax:818-887-1915
Practice Address - Street 1:VALLEY THERAPY ADDRESS AS 15720 VENTURA BLVD
Practice Address - Street 2:600
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436
Practice Address - Country:US
Practice Address - Phone:818-999-5826
Practice Address - Fax:818-887-1915
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist