Provider Demographics
NPI:1316136849
Name:VELOVICI, MIHAELA (MA AND MFT)
Entity type:Individual
Prefix:
First Name:MIHAELA
Middle Name:
Last Name:VELOVICI
Suffix:
Gender:F
Credentials:MA AND MFT
Other - Prefix:MISS
Other - First Name:MIHAELA
Other - Middle Name:
Other - Last Name:IVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA AND MFT
Mailing Address - Street 1:144 S. MCCARTY DRIVE #101
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-424-0292
Mailing Address - Fax:
Practice Address - Street 1:270 N. CANNON DRIVE
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-424-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44751106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist