Provider Demographics
NPI:1942522115
Name:BABBEL, SUSANNE (MFT)
Entity Type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:
Last Name:BABBEL
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 1:2918 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4006
Mailing Address - Country:US
Mailing Address - Phone:415-373-5625
Mailing Address - Fax:415-373-5625
Practice Address - Street 1:2918 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4006
Practice Address - Country:US
Practice Address - Phone:415-373-5625
Practice Address - Fax:415-373-5625
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 42446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist