Basic Information
Provider Information
NPI: 1427014588
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURK
FirstName: SYLVIA
MiddleName: FISCHL
NamePrefix: DR.
NameSuffix:  
Credential: MFT, PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1025 W OLYMPIC BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900151329
CountryCode: US
TelephoneNumber: 2136232225
FaxNumber: 2132395016
Practice Location
Address1: 1025 W OLYMPIC BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900151329
CountryCode: US
TelephoneNumber: 2136232225
FaxNumber: 2132395016
Other Information
ProviderEnumerationDate: 04/25/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFT20417CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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