Provider Demographics
NPI:1376748202
Name:FIELD, MARIA ELIZABETH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:FIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:ELIZABETH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA MFT
Mailing Address - Street 1:11620 WILSHIRE BLVD., SUITE 900
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6897
Mailing Address - Country:US
Mailing Address - Phone:310-395-2400
Mailing Address - Fax:
Practice Address - Street 1:11620 WILSHIRE BLVD., SUITE 900
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6897
Practice Address - Country:US
Practice Address - Phone:310-395-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31677106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist