| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHUTONDIA KAY TAPP | 1134252661 | 2024-09-08 |
Shutondia Kay Tapp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134252661. Registration indicates Shutondia Kay Tapp is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Shutondia Kay Tapp LMFT |
| Practice Office Address | 4211 AVALON BLVD LOS ANGELES, CA US |
| Practice Office Telephone | 3232954299 |
| Mailing Address | 4211 AVALON BLVD LOS ANGELES, CA 900115622 US |
| Business Telephone | 3232954299 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 149014
CA |