Provider Demographics
NPI:1942601851
Name:NADEL, BETH (LMFT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:NADEL
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 1:4433 E VILLAGE RD STE I
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1505
Mailing Address - Country:US
Mailing Address - Phone:562-239-2281
Mailing Address - Fax:562-420-7149
Practice Address - Street 1:4433 E VILLAGE RD STE I
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1505
Practice Address - Country:US
Practice Address - Phone:562-239-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18563106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist