Provider Demographics
NPI:1164226395
Name:EHRENFRIED, PETER (LMFT)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:EHRENFRIED
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3871 WATSEKA AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2638
Mailing Address - Country:US
Mailing Address - Phone:310-493-9822
Mailing Address - Fax:
Practice Address - Street 1:3871 WATSEKA AVE APT 9
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2638
Practice Address - Country:US
Practice Address - Phone:310-493-9822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153669106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist