Provider Demographics
NPI:1942218474
Name:BELSHAW, NANCEE (LMFT)
Entity Type:Individual
Prefix:
First Name:NANCEE
Middle Name:
Last Name:BELSHAW
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 1:11600 WASHINGTON PL STE 110
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5000
Mailing Address - Country:US
Mailing Address - Phone:310-391-5548
Mailing Address - Fax:310-398-2761
Practice Address - Street 1:11600 WASHINGTON PL STE 110
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5000
Practice Address - Country:US
Practice Address - Phone:310-391-5548
Practice Address - Fax:310-398-2761
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist