Provider Demographics
NPI:1790941474
Name:RATTRAY, BEVERLY JANE (MFT)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:JANE
Last Name:RATTRAY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41197 GOLDEN GATE CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6997
Mailing Address - Country:US
Mailing Address - Phone:951-461-0777
Mailing Address - Fax:951-461-0778
Practice Address - Street 1:41197 GOLDEN GATE CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6997
Practice Address - Country:US
Practice Address - Phone:951-461-0777
Practice Address - Fax:951-461-0778
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39317106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist