Provider Demographics
NPI:1841517166
Name:HANSEN, DEBORAH SVIDLER (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SVIDLER
Last Name:HANSEN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SVIDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:2323 E PALMDALE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4957
Mailing Address - Country:US
Mailing Address - Phone:213-465-5197
Mailing Address - Fax:
Practice Address - Street 1:2323 E PALMDALE BLVD STE A
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4957
Practice Address - Country:US
Practice Address - Phone:661-223-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CALMFT77890106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator