Provider Demographics
NPI:1962795351
Name:LITTLEWOOD-MORSE, TINA (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:
Last Name:LITTLEWOOD-MORSE
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 N BEVERLY GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BEL-AIR
Mailing Address - State:CA
Mailing Address - Zip Code:90077-3126
Mailing Address - Country:US
Mailing Address - Phone:310-227-8899
Mailing Address - Fax:310-474-7732
Practice Address - Street 1:1318 N BEVERLY GLEN BLVD
Practice Address - Street 2:
Practice Address - City:BEL-AIR
Practice Address - State:CA
Practice Address - Zip Code:90077-3126
Practice Address - Country:US
Practice Address - Phone:310-227-8899
Practice Address - Fax:310-474-7732
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist