Most Relevant Information
Provider Data
| NPI Number: | 1003521527 |
| Provider Name: | MIRIAM ANTHONY AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | AMFT136815 |
Most Important Dates
| Enumeration Date: | 01/19/2023 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
2118 GLENDALE BLVD
LOS ANGELES
CA
900393609
Practice Location Phone/Fax
| Phone: | 7073342207 |
| Fax: |
Provider Mailing Location
2118 GLENDALE BLVD
LOS ANGELES
CA
900393609
Provider Mailing Phone/Fax
| Phone: | 7073342207 |
| Fax: |