Most Relevant Information
Provider Data
| NPI Number: | 1003224668 |
| Provider Name: | KRISTINE TYE |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 77645 |
Most Important Dates
| Enumeration Date: | 07/28/2014 |
| Last Updated: | 07/28/2014 |
Provider Practice Location
4419 VAN NUYS BLVD STE 202
SHERMAN OAKS
CA
914035709
Practice Location Phone/Fax
| Phone: | 8189231038 |
| Fax: |
Provider Mailing Location
4419 VAN NUYS BLVD STE 202
SHERMAN OAKS
CA
914035709
Provider Mailing Phone/Fax
| Phone: | 8189231038 |
| Fax: |