Provider Demographics
NPI:1407665037
Name:INTROSPECTIVE THERAPY BY JOANNA TOZER, LICENSED CLINICAL SOCIAL WORKER
Entity type:Organization
Organization Name:INTROSPECTIVE THERAPY BY JOANNA TOZER, LICENSED CLINICAL SOCIAL WORKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:TOZER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-871-0314
Mailing Address - Street 1:327 N SAN MATEO DR STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2585
Mailing Address - Country:US
Mailing Address - Phone:310-871-0314
Mailing Address - Fax:
Practice Address - Street 1:327 N SAN MATEO DR STE 10
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2585
Practice Address - Country:US
Practice Address - Phone:310-871-0314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health