Provider Demographics
NPI:1508884529
Name:BEILIN, ROBERT LEWIS
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEWIS
Last Name:BEILIN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:LEWIS
Other - Last Name:BEILIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MFT
Mailing Address - Street 1:260 MAPLE CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3516
Mailing Address - Country:US
Mailing Address - Phone:805-658-0606
Mailing Address - Fax:805-647-7275
Practice Address - Street 1:260 MAPLE CT
Practice Address - Street 2:SUITE 105
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3516
Practice Address - Country:US
Practice Address - Phone:805-658-0606
Practice Address - Fax:805-647-7275
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 7542106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist