Provider Demographics
NPI:1770573784
Name:STOLL, BOBBI -- (MFT, CTS, CT, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:BOBBI
Middle Name:--
Last Name:STOLL
Suffix:
Gender:F
Credentials:MFT, CTS, CT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 BRIAR SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-1127
Mailing Address - Country:US
Mailing Address - Phone:323-650-5934
Mailing Address - Fax:323-650-5934
Practice Address - Street 1:8020 BRIAR SUMMIT DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-1127
Practice Address - Country:US
Practice Address - Phone:323-650-5934
Practice Address - Fax:323-650-5934
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 13609106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist