Provider Demographics
NPI:1649504945
Name:HASKINS, JAMES SALVATORE (MFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SALVATORE
Last Name:HASKINS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1732
Mailing Address - Country:US
Mailing Address - Phone:310-659-1286
Mailing Address - Fax:
Practice Address - Street 1:450 N ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1732
Practice Address - Country:US
Practice Address - Phone:310-659-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35989106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist