Provider Demographics
NPI:1568537157
Name:BEIGEL, ASTRID (PHD)
Entity Type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:
Last Name:BEIGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 S HALM AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2028
Mailing Address - Country:US
Mailing Address - Phone:310-837-4354
Mailing Address - Fax:310-837-1533
Practice Address - Street 1:2437 S HALM AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2028
Practice Address - Country:US
Practice Address - Phone:310-837-4354
Practice Address - Fax:310-837-1533
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4122103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist