Provider Demographics
NPI:1063874261
Name:APPLETON, SUSAN MERLE (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MERLE
Last Name:APPLETON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3171 LOS FELIZ BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1537
Mailing Address - Country:US
Mailing Address - Phone:323-953-2707
Mailing Address - Fax:323-661-2406
Practice Address - Street 1:3171 LOS FELIZ BLVD STE 307
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1537
Practice Address - Country:US
Practice Address - Phone:323-953-2707
Practice Address - Fax:323-661-2406
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT27653106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist