Dr. Ida G Spencer-Weisman
Marriage & Family Therapist in West Hollywood, CA. Individual provider (NPI-1).
NPI number1295570646
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1295570646
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ida G Spencer-Weisman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 111551 | CA | Yes |
Other names
- Ida G Spencer (Professional Name)
Practice location
1245 N Laurel Ave Apt 5West Hollywood, CA 90046-5135
Phone 323-376-5023
Mailing address
7190 W Sunset Blvd Ste 1041West Hollywood, CA 90046-4415
Phone 310-600-1288
Other practice locations
7190 W Sunset Blvd Ste 1041
West Hollywood, CA 90046-4415
West Hollywood, CA 90046-4415
Phone 310-600-1288
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