Provider Demographics
NPI:1487826160
Name:NEEDLEMAN, BRIAN A (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:A
Last Name:NEEDLEMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BOTELHO DR # 154
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5102
Mailing Address - Country:US
Mailing Address - Phone:925-352-7426
Mailing Address - Fax:
Practice Address - Street 1:1460 MARIA LN STE 310
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8803
Practice Address - Country:US
Practice Address - Phone:925-941-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT33878106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty