Provider Demographics
NPI:1669215604
Name:SWEITZER, NATASHA (AMFT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:SWEITZER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 CIRCLE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5640
Mailing Address - Country:US
Mailing Address - Phone:714-768-1268
Mailing Address - Fax:
Practice Address - Street 1:11845 W OLYMPIC BLVD STE 1080W
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-5023
Practice Address - Country:US
Practice Address - Phone:424-252-1946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist