Provider Demographics
NPI:1386970390
Name:OBERLANDER, JOANNE ASHER (MFT)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:ASHER
Last Name:OBERLANDER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 TAMARIND ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-1317
Mailing Address - Country:US
Mailing Address - Phone:818-429-4703
Mailing Address - Fax:818-991-0839
Practice Address - Street 1:6455 TAMARIND ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377-1317
Practice Address - Country:US
Practice Address - Phone:818-429-4703
Practice Address - Fax:818-991-0839
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14182106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist