Provider Demographics
NPI:1669580874
Name:RIVERA-SIMENTAL, SONYA EMILIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:EMILIA
Last Name:RIVERA-SIMENTAL
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 1:7435 N. FIGUERIA ST. #113
Mailing Address - Street 2:
Mailing Address - City:L.A.
Mailing Address - State:CA
Mailing Address - Zip Code:90041
Mailing Address - Country:US
Mailing Address - Phone:323-632-2091
Mailing Address - Fax:626-795-3880
Practice Address - Street 1:850 COLORADO BLVD. SUITE 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041
Practice Address - Country:US
Practice Address - Phone:323-632-2091
Practice Address - Fax:626-795-3880
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist