Emily Mandelstam
Marriage & Family Therapist in Newport Beach, CA. Individual provider (NPI-1).
NPI number1649079237
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1649079237
- Entity type
- Individual (NPI-1)
- Name
- Emily Mandelstam
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2025
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 147418 | CA | Yes |
Practice location
4299 Macarthur Blvd Ste 200Newport Beach, CA 92660-2095
Phone 949-480-7767
Mailing address
Po Box 51421Irvine, CA 92619-1421
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