Provider Demographics
NPI:1356661938
Name:FIELD, BETH (MS,MFCC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:FIELD
Suffix:
Gender:F
Credentials:MS,MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 PARK MONTE NORD
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2825
Mailing Address - Country:US
Mailing Address - Phone:818-441-1616
Mailing Address - Fax:
Practice Address - Street 1:4370 PARK MONTE NORD
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2825
Practice Address - Country:US
Practice Address - Phone:818-441-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist