Provider Demographics
NPI:1437186442
Name:BERNFELD, FRANCES R (CMFT)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:R
Last Name:BERNFELD
Suffix:
Gender:F
Credentials:CMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 65224
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-5224
Mailing Address - Country:US
Mailing Address - Phone:520-909-1444
Mailing Address - Fax:
Practice Address - Street 1:4578 N 1ST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5747
Practice Address - Country:US
Practice Address - Phone:520-909-1444
Practice Address - Fax:520-299-9671
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMFT 0107OtherSTATE LICENSE