Kanazawa, Teru Judy

Kanazawa, Teru Judy is an sole proprietor health care provider with primary practice located at 1323 East Windsor Rd , Glendale CA 91205-2662. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kanazawa, Teru Judy can be contacted via phone (310) 579-2047.

Contact Information

Primary practice address
1323 East Windsor Rd Glendale CA 91205-2662
Phone: (310) 579-2047
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27683 California

Profile Details

NPI number 1710010483
LBN Legal business name Kanazawa, Teru Judy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Mar 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710010483 NPPES
California Other 11298014100812-001 MEDICARE, ALLIED HEALTH

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