Provider Demographics
NPI:1841508389
Name:MARSH, SEANA LORI (PHD)
Entity type:Individual
Prefix:
First Name:SEANA
Middle Name:LORI
Last Name:MARSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20700 VENTURA BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2357
Mailing Address - Country:US
Mailing Address - Phone:310-446-1906
Mailing Address - Fax:
Practice Address - Street 1:20700 VENTURA BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2357
Practice Address - Country:US
Practice Address - Phone:310-446-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25667106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist