Martin A. Mcdermott | Los Angeles, CA • PECOS Search

Martin A. Mcdermott

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3741 Stocker St Ste 207, Los Angeles, CA 90008-5148

(323) 596-2480 (310) 892-4929

PECOS Enrollment

Based on the most recent information from CMS, provider Martin A. Mcdermott does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346550068
Provider Type
Individual
Full Name
Mcdermott, Martin A.
Title
Mr.
Credential
LMFT

Gender
Male
Sole Proprietor
No
Enumeration Date
10/15/2010
Last Updated
5/8/2013

Contact Information

Practice Location

3741 Stocker St Ste 207, Los Angeles, CA 90008-5148

Unlisted Fax

Mailing Location

605 S Prospect Ave Unit 102, Redondo Beach, CA 90277-4408

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC47055 California