| Sam Polansky Family Therapy Inc. | |
|
623 Aviation Way Apt B Manhattan Beach CA 90266-7164 | |
| (818) 439-4301 | |
| Not Available |
| Full Name | Sam Polansky Family Therapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 623 Aviation Way Apt B, Manhattan Beach, California |
| Authorized Official Name and Position | Samantha Elizabeth Polansky (CEO) |
| Authorized Official Contact | 8184394301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Polansky Family Therapy Inc. 623 Aviation Way Apt B Manhattan Beach CA 90266-7164 Ph: (818) 439-4301 | Sam Polansky Family Therapy Inc. 623 Aviation Way Apt B Manhattan Beach CA 90266-7164 Ph: (818) 439-4301 |
| NPI Number | 1104622166 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104622166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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