Provider Demographics
NPI:1780888040
Name:OSTERLIND, DUANE PHILIP (LMFT, CSAT)
Entity type:Individual
Prefix:MR
First Name:DUANE
Middle Name:PHILIP
Last Name:OSTERLIND
Suffix:
Gender:M
Credentials:LMFT, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6695 E. PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803
Mailing Address - Country:US
Mailing Address - Phone:562-431-5100
Mailing Address - Fax:562-431-3560
Practice Address - Street 1:6695 E. PACIFIC COAST HWY
Practice Address - Street 2:SUITE 135
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803
Practice Address - Country:US
Practice Address - Phone:562-431-5100
Practice Address - Fax:562-431-3560
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44567106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist