Provider Demographics
NPI:1740489988
Name:LIRMAN, JUDI HARRIET (MFT)
Entity type:Individual
Prefix:
First Name:JUDI
Middle Name:HARRIET
Last Name:LIRMAN
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 1:22048 SHERMAN WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3001
Mailing Address - Country:US
Mailing Address - Phone:818-998-3205
Mailing Address - Fax:818-773-8999
Practice Address - Street 1:22048 SHERMAN WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3001
Practice Address - Country:US
Practice Address - Phone:818-343-6800
Practice Address - Fax:818-773-8999
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 18437106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist