Basic Information
| Provider Information | |||||||||
| NPI: | 1801338587 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMAMI | ||||||||
| FirstName: | STEFANIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MFT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ECKSTEIN | ||||||||
| OtherFirstName: | STEFANIE | ||||||||
| OtherMiddleName: | |||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1905 WILCOX AVE. #444 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107852121 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 66 HURLBUT ST. | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264414221 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2016 | ||||||||
| LastUpdateDate: | 10/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 1801338587 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | 122148 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.