Provider Demographics
NPI:1720272701
Name:VELUZ, TANYA ANN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:ANN
Last Name:VELUZ
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD STE 332
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2061
Mailing Address - Country:US
Mailing Address - Phone:818-569-3008
Mailing Address - Fax:818-569-3008
Practice Address - Street 1:595 E COLORADO BLVD STE 332
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2061
Practice Address - Country:US
Practice Address - Phone:818-569-3008
Practice Address - Fax:818-569-3008
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist