Risa Sherwood Gordon in Los Angeles - Marriage & Family Therapist
Risa Sherwood Gordon - NPI 1104029891
Risa Sherwood Gordon is a Marriage & Family Therapist in Los Angeles, California. Risa Sherwood Gordon practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Risa Sherwood Gordon is 1104029891. The last update date is 2007-07-08.
Risa Sherwood Gordon's current location address is 3641 Tilden Ave, Los Angeles, California. You can contact this provider via phone number 3108376368 and fax number 3108373486. The mailing address for Risa Sherwood Gordon is 3641 Tilden Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Risa Sherwood Gordon |
|---|---|
| Address | 3641 Tilden Ave, Los Angeles, California |
| Phone Number | 3108376368 |
| Fax Number | 3108373486 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1104029891 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3641 Tilden Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900346909 |
| Phone Number | 3108376368 |
| Fax Number | 3108373486 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 15299 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Risa Sherwood Gordon's unique identification number?
The Risa Sherwood Gordon has been assigned the NPI (National Provider Identifier) Number 1104029891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Risa Sherwood Gordon?
The Risa Sherwood Gordon is situated at 3641 Tilden Ave, in the city of Los Angeles, state of CA, with the zip code 900346909.
What is Risa Sherwood Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Risa Sherwood Gordon is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104029891 to Risa Sherwood Gordon?
The Risa Sherwood Gordon received its 1104029891 assignment from the Centers for Medicare & Medicaid Services on 2007-06-08.
As of what date were the Risa Sherwood Gordon's details last updated?
The information pertaining to the Risa Sherwood Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.