Provider Demographics
NPI:1598549503
Name:KRAMER, BEVERLY (AMFT, APCC)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 LAS VIRGENES RD APT 520
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2669
Mailing Address - Country:US
Mailing Address - Phone:714-745-7835
Mailing Address - Fax:
Practice Address - Street 1:5535 BALBOA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1545
Practice Address - Country:US
Practice Address - Phone:714-745-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139583106H00000X
CA13860101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health