Provider Demographics
NPI:1144538752
Name:SAXON, ANN VICTORIA (MA, PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:VICTORIA
Last Name:SAXON
Suffix:
Gender:F
Credentials:MA, PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 RIVERSIDE DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2537
Mailing Address - Country:US
Mailing Address - Phone:818-640-3789
Mailing Address - Fax:
Practice Address - Street 1:10000 RIVERSIDE DR
Practice Address - Street 2:SUITE 11
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2537
Practice Address - Country:US
Practice Address - Phone:818-640-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist