Provider Demographics
NPI:1801564737
Name:CUTLER, LAURA DENISE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:DENISE
Last Name:CUTLER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 CORINTH AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1622
Mailing Address - Country:US
Mailing Address - Phone:310-351-6850
Mailing Address - Fax:
Practice Address - Street 1:2211 CORINTH AVE STE 309
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1622
Practice Address - Country:US
Practice Address - Phone:310-351-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health