Individual
ANDREA LEE DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10929 SOUTH ST, SUITE 208 B, CERRITOS, CA 90703-5340
(562) 924-5526
Mailing address
10929 SOUTH ST, SUITE 208 B, CERRITOS, CA 90703-5340
(562) 924-5526
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
86789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
06/15/2011
Last updated
07/23/2019
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