Dr. William Latta, MA and PHD
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1578956199
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1578956199
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Latta
- Credential
- MA and PHD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT12744 | CA | Yes |
Practice location
4452 Park BlvdSuite 304
San Diego, CA 92116-4051
Phone 619-890-5152
Mailing address
4452 Park BlvdSuite 304
San Diego, CA 92116-4051
Phone 619-890-5152
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