Provider Demographics
NPI:1447688205
Name:SIMPSON, MARTHA (LMFT, CSAT)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMFT, CSAT
Other - Prefix:
Other - First Name:MARTY
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT, CSAT, CPTT
Mailing Address - Street 1:22221 KITTRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2448
Mailing Address - Country:US
Mailing Address - Phone:310-344-3020
Mailing Address - Fax:
Practice Address - Street 1:914 S ROBERTSON BLVD
Practice Address - Street 2:STE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1639
Practice Address - Country:US
Practice Address - Phone:310-740-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-14
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT53490106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist