Dousette, Mary Theresa

Dousette, Mary Theresa is an individual health care provider with primary practice located at 4507 Auckland Ave , Toluca Lake CA 91602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dousette, Mary Theresa can be contacted via phone (818) 980-0202.

Contact Information

Primary practice address
4507 Auckland Ave Toluca Lake CA 91602
Phone: (818) 980-0202
Fax: (818) 952-8635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY18158 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MK22157 California

Profile Details

NPI number 1912119876
LBN Legal business name Dousette, Mary Theresa
Credentials PHD MFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers