Individual
ANINDITA DATTARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 202-1356
(562) 484-3039
Mailing address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 202-1356
(562) 484-3039
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
150971
CA
106H00000X
Marriage & Family Therapist
MFT INTERN 59851
CA
Other
Enumeration date
03/26/2014
Last updated
10/30/2024
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