Provider Demographics
NPI:1598577652
Name:WOODMANSEE, ANNA (MA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:WOODMANSEE
Suffix:
Gender:U
Credentials:MA
Other - Prefix:
Other - First Name:FINLEY
Other - Middle Name:
Other - Last Name:WOODMANSEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1212 N GOWER ST APT 103
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1867
Mailing Address - Country:US
Mailing Address - Phone:661-425-1193
Mailing Address - Fax:
Practice Address - Street 1:200 E DEL MAR BLVD STE 160
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2507
Practice Address - Country:US
Practice Address - Phone:310-400-6460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist