Individual
AMANDA BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 779-5247
Mailing address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
24334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSIX224
—
CA
Enumeration date
03/30/2007
Last updated
07/09/2007
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