Provider Demographics
NPI:1396174660
Name:JOSEPH-TOHL, STACY EILEEN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:EILEEN
Last Name:JOSEPH-TOHL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:STACY
Other - Middle Name:EILEEN
Other - Last Name:JOSEPH OR TOHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:13749 RIVERSIDE DR.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401
Mailing Address - Country:US
Mailing Address - Phone:818-906-3912
Mailing Address - Fax:818-906-3912
Practice Address - Street 1:13749 RIVERSIDE DR.
Practice Address - Street 2:SUITE 201
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91401
Practice Address - Country:US
Practice Address - Phone:818-906-3912
Practice Address - Fax:818-906-3912
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 21539163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent