Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON RENEE VANDERBERG
Active Sole ProprietorMRS. SHANNON RENEE VANDERBERG is a Marriage & Family Therapist healthcare provider located in RESEDA, California. NPI 1306073952 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · RESEDA, CA
Registration Details
- NPI Number
- 1306073952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2009 (17.161798844219 yrs)
- Last Updated
- Mar 17, 2018
- License
-
MFC90568 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19231 VICTORY BLVD STE 110RESEDA, CA, 913356321Browse CA providers · Browse ZIP 91335
- Phone
- 8187084500
- Fax
- 8186541956
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in RESEDA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA JILL GREEN | M.A., LMFT | 1205917325 |
| MRS. DANA FOGEL STARK | LMFT | 1497817043 |
| MR. PETER JOSEPH CASHORALI | LMFT | 1609916683 |
| LALEH SAEDI | — | 1578682548 |
| MR. BEHNAM KEYVAN | M.F.T. | 1972626646 |
| MR. MORRIS DRESSLER | MFT | 1275757056 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.