1558609917 NPI number — MS. KERRY O'RENE ENGLISH MA., LMFT

Table of content: MS. KERRY O'RENE ENGLISH MA., LMFT (NPI 1558609917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558609917 NPI number — MS. KERRY O'RENE ENGLISH MA., LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENGLISH
Provider First Name:
KERRY
Provider Middle Name:
O'RENE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA., LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHERMAN
Provider Other First Name:
KATHERINE
Provider Other Middle Name:
O'RENE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558609917
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4405 RIVERSIDE DR
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
BURBANK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-717-2837
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4405 RIVERSIDE DR
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
BURBANK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-717-2837
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC52701 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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