Most Relevant Information
Provider Data
| NPI Number: | 1003014028 |
| Provider Name: | AMY DIANE HART M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 50296 |
Most Important Dates
| Enumeration Date: | 07/11/2007 |
| Last Updated: | 05/07/2018 |
Provider Practice Location
4405 W RIVERSIDE DR STE 106
BURBANK
CA
915054050
Practice Location Phone/Fax
| Phone: | 8185124179 |
| Fax: | 8188053108 |
Provider Mailing Location
4405 W RIVERSIDE DR STE 106
BURBANK
CA
915054050
Provider Mailing Phone/Fax
| Phone: | 8185124179 |
| Fax: | 8188053108 |