Individual
AMY DIANE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4405 W RIVERSIDE DR STE 106, BURBANK, CA 91505-4050
(818) 512-4179
(818) 805-3108
Mailing address
4405 W RIVERSIDE DR STE 106, BURBANK, CA 91505-4050
(818) 512-4179
(818) 805-3108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
50296
CA
Other
Enumeration date
07/11/2007
Last updated
05/07/2018
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