Provider Demographics
NPI:1659478543
Name:NETTER, BEATRIZ ESTHER CZERTOK (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:ESTHER CZERTOK
Last Name:NETTER
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 1:4180 LA JOLLA VILLAGE DR STE 530
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1474
Mailing Address - Country:US
Mailing Address - Phone:858-552-8912
Mailing Address - Fax:858-793-5492
Practice Address - Street 1:4180 LA JOLLA VILLAGE DR STE 530
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1474
Practice Address - Country:US
Practice Address - Phone:858-552-8912
Practice Address - Fax:858-793-5492
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13006103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical