Provider Demographics
NPI:1427399831
Name:BURGFELD, KARLA SUE (LMFT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:SUE
Last Name:BURGFELD
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 1:1947 BRYOR CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1711
Mailing Address - Country:US
Mailing Address - Phone:209-769-9966
Mailing Address - Fax:
Practice Address - Street 1:414 W 21ST ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3718
Practice Address - Country:US
Practice Address - Phone:209-769-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT27716106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist