| Life Therapy Services, Inc. | |
|
3053 Rancho Vista Blvd Ste. H #114 Palmdale CA 93551-4823 | |
| (661) 718-2694 | |
| Not Available |
| Full Name | Life Therapy Services, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3053 Rancho Vista Blvd, Palmdale, California |
| Authorized Official Name and Position | Zoe Miranda Shaw (LEAD PSYCHOTHERAPIST/ OWNER) |
| Authorized Official Contact | 6617182694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Therapy Services, Inc. 3053 Rancho Vista Blvd Ste. H #114 Palmdale CA 93551-4823 Ph: (661) 718-2694 | Life Therapy Services, Inc. 3053 Rancho Vista Blvd Ste. H #114 Palmdale CA 93551-4823 Ph: (661) 718-2694 |
| NPI Number | 1366600942 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366600942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 39636 (California) | Primary |
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