Provider Demographics
NPI:1689822363
Name:CROMPTON, NANCI L (LMFT)
Entity type:Individual
Prefix:
First Name:NANCI
Middle Name:L
Last Name:CROMPTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 CLOVERFIELD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-5299
Mailing Address - Country:US
Mailing Address - Phone:310-829-9161
Mailing Address - Fax:
Practice Address - Street 1:2121 CLOVERFIELD BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-5299
Practice Address - Country:US
Practice Address - Phone:310-829-9161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT27343106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist