Provider Demographics
NPI:1427829258
Name:PENDRY, ANNA SEKORA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:SEKORA
Last Name:PENDRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 ARIZONA AVE APT D
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1585
Mailing Address - Country:US
Mailing Address - Phone:310-849-3606
Mailing Address - Fax:
Practice Address - Street 1:2924 ARIZONA AVE APT D
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1585
Practice Address - Country:US
Practice Address - Phone:310-849-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist