Provider Demographics
NPI:1083761613
Name:BARTHEL, JUDITH GLORIA (MA, MFT,CEAP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:GLORIA
Last Name:BARTHEL
Suffix:
Gender:F
Credentials:MA, MFT,CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 E 4TH ST
Mailing Address - Street 2:#214
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5163
Mailing Address - Country:US
Mailing Address - Phone:714-834-1676
Mailing Address - Fax:714-834-9312
Practice Address - Street 1:1633 E 4TH ST
Practice Address - Street 2:#214
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5163
Practice Address - Country:US
Practice Address - Phone:714-834-1676
Practice Address - Fax:714-834-9312
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13964106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist