# MELISSA SUSMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629510318
- **Authorized official:** MELISSA SUSMAN LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (310) 291-1448

## Contact information

- **Practice address:** 11340 W OLYMPIC BLVD, SUITE 266, LOS ANGELES, CA 90064-1608
- **Practice address phone:** (310) 291-1448
- **Mailing address:** 11340 W OLYMPIC BLVD, SUITE 266, LOS ANGELES, CA 90064-1608
- **Mailing address phone:** (310) 291-1448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT86889 | CA | Yes |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 11/10/2016