Most Relevant Information
Provider Data
| NPI Number: | 1003431222 |
| Provider Name: | HALA MAIDA M.S., LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 119193 |
Most Important Dates
| Enumeration Date: | 06/12/2020 |
| Last Updated: | 06/12/2020 |
Provider Practice Location
1301 W GLENOAKS BLVD STE 107
GLENDALE
CA
912012203
Practice Location Phone/Fax
| Phone: | 8189459689 |
| Fax: |
Provider Mailing Location
5600 CAHUENGA BLVD
NORTH HOLLYWOOD
CA
916012103
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |