Provider Demographics
NPI:1982825014
Name:CLARFIELD, BETTINA T (PHD MFT RN)
Entity Type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:T
Last Name:CLARFIELD
Suffix:
Gender:F
Credentials:PHD MFT RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NO BRAND BLVD
Mailing Address - Street 2:SU200
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203
Mailing Address - Country:US
Mailing Address - Phone:818-507-1550
Mailing Address - Fax:818-344-3338
Practice Address - Street 1:100 NO BRAND BLVD
Practice Address - Street 2:SU200
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203
Practice Address - Country:US
Practice Address - Phone:818-507-1550
Practice Address - Fax:818-344-6668
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM16787106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist