Provider Demographics
NPI:1497905574
Name:OTTENSTEIN, BETTINA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BETTINA
Middle Name:
Last Name:OTTENSTEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BETTINA
Other - Middle Name:
Other - Last Name:OTTENSTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2810 EAST DEL MAR BLVD.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4374
Mailing Address - Country:US
Mailing Address - Phone:818-282-5767
Mailing Address - Fax:626-356-0466
Practice Address - Street 1:2810 EAST DEL MAR BLVD.
Practice Address - Street 2:SUITE 8
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4374
Practice Address - Country:US
Practice Address - Phone:818-282-5767
Practice Address - Fax:626-356-0466
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist