Provider Demographics
NPI:1184934796
Name:HAMNER, LLOYD M (LMFT)
Entity type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:M
Last Name:HAMNER
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 1:7120 HAYVENHURST AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3843
Mailing Address - Country:US
Mailing Address - Phone:818-521-5446
Mailing Address - Fax:
Practice Address - Street 1:7120 HAYVENHURST AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3843
Practice Address - Country:US
Practice Address - Phone:818-521-5446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35175106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist