Provider Demographics
NPI:1427450832
Name:TORREALBA-DEROUIN, NARDA (LMFT)
Entity type:Individual
Prefix:
First Name:NARDA
Middle Name:
Last Name:TORREALBA-DEROUIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 SKYHILL DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1232
Mailing Address - Country:US
Mailing Address - Phone:213-618-0838
Mailing Address - Fax:
Practice Address - Street 1:4419 VAN NUYS BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5715
Practice Address - Country:US
Practice Address - Phone:323-874-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA106050106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program