Provider Demographics
NPI:1568660116
Name:GRUBER, BAT-SHEVA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BAT-SHEVA
Middle Name:
Last Name:GRUBER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14724 VENTURA BLVD
Mailing Address - Street 2:1100
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3501
Mailing Address - Country:US
Mailing Address - Phone:818-300-1116
Mailing Address - Fax:718-520-1096
Practice Address - Street 1:14724 VENTURA BLVD
Practice Address - Street 2:1100
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3501
Practice Address - Country:US
Practice Address - Phone:818-300-1116
Practice Address - Fax:718-520-1096
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT28446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist