Provider Demographics
NPI:1912407925
Name:RAHHAL, DIANNA SANDLER (LMFT)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:SANDLER
Last Name:RAHHAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4249 TARZANA ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5447
Mailing Address - Country:US
Mailing Address - Phone:818-921-2976
Mailing Address - Fax:
Practice Address - Street 1:19562 VENTURA BLVD STE 236
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6090
Practice Address - Country:US
Practice Address - Phone:818-921-2976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT96972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist